• 60 Seconds with Steve Monroe: What Do People Really Think?

    In our Second Quarter 2025 investment webinar, moderator Ben Swett asked our audience of a few hundred what they thought about several important topics. Overwhelmingly, 82% of the attendees indicated they would rather buy than build in today’s market, which was surprising given two facts. One, the current inventory is aging and showing it, and... Read More »
  • Publicly Traded Healthcare REIT Acquires in Minnesota

    Lee & Associates’ Senior Housing team, led by Robert Black, represented a Scottsdale, Arizona-based developer in the sale of a Class-A seniors housing community in Saint Paul, Minnesota. Developed by the seller in 2019, the building features 101 independent living, assisted living and memory care units.  There was strong interest in the... Read More »
  • Ivy Healthcare Group Divests to Regional Owner/Operator

    Engaged by Ivy Healthcare Group, Evans Senior Investments facilitated the sale of a skilled nursing facility in Gastonia, North Carolina. Ivy at Gastonia comprises 50 beds and has a strong operational foundation. ESI secured a regional owner/operator as the buyer. The incoming operator is expected to benefit from a favorable reimbursement... Read More »
  • Denver-Based Owner/Operator Grows in Colorado

    Blueprint represented a court-appointed receiver in the sale of a seniors housing portfolio in the Grand Junction, Colorado MSA. The portfolio comprised two assisted living communities with around 50 units, and a standalone memory care community built in the mid-1990s with around 20 units. The portfolio was 65% occupied and breaking even on a... Read More »
  • Ohio Skilled Nursing Facility Changes Hands

    Connor Doherty and Ryan Kelly of Blueprint closed the sale of a 61-bed skilled nursing facility located southeast of Columbus, Ohio. While the facility was experiencing operational challenges at the time of marketing, it had a long-standing reputation for providing quality care to the community. Blueprint’s marketing process emphasized the... Read More »
The 40-Year Old SNF

The 40-Year Old SNF

The skilled nursing sector is under pressure, especially those facilities built 40 years ago. But buyers continue to see opportunity. There are some people who believe skilled nursing facilities are dinosaurs and will continue to see declines in census and profitability. There are others who believe they are part of the solution to contain healthcare costs and will see census increases in the future as demographics evolve and the SNF bed inventory continues to decline. Within both sides of the debate, there is concern for the large number of skilled nursing facilities that were built 40 years ago. Can they be part of the solution? Is it worthwhile to invest capital in an outdated design?... Read More »
The 40-Year Old SNF

M&A Market Surges

After a very slow March, April seniors housing and care M&A transactions surged to nearly 50 acquisitions, more than double the number in March. In the first quarter this year, we averaged about 26 seniors housing and care acquisitions each month for a total of 77 in the quarter. That was close to what we have been seeing in the past few quarters, so nothing out of the ordinary. That is, until April. Last month we recorded 46 separate acquisitions, or double March’s volume. While it may not be a record, it is awfully close. The number will most likely rise above 50 as more deals come to light. It is too early to say this represents a trend in renewed M&A activity, but other than... Read More »
A Fearsome Threesome: Welltower, Quality Care Properties and ProMedica Health Deal

A Fearsome Threesome: Welltower, Quality Care Properties and ProMedica Health Deal

We would be lying if we said we were not surprised by the announcement that Welltower will be buying Quality Care Properties for about $2 billion plus assumed debt, that ProMedica Health Systems would be buying the operating assets of HCR ManorCare, and that Welltower and ProMedica would be joint venturing. Strange bedfellows, for sure. While we are sure there was some time pressure to get the news out, we are also sure there were some unhappy analysts who were asleep at 11.58 pm on April 25 when Welltower announced to deaf ears that it moved up its second quarter earnings call to……8 hours later at the bright and early time of 8:00 am the following morning. Looks like management pulled a... Read More »
The 40-Year Old SNF

M&A Values Dip

For the 12 months ended March 31, 2018, assisted and independent living average prices fell, while skilled nursing stayed the same as in 2017. After a record 2017 for assisted living average prices, for the trailing 12 months ended March 31, the prices have come down to earth, a bit. In this most recent period, the average price per unit fell 5% from calendar year 2017, to $210,100 per unit, and the unweighted average cap rate rose to 7.9% from 7.6%. This makes sense given rising interest rates and the continued market headwinds. The independent living market dropped by 9%, to $209,300 per unit, for the 12 months ended March 31, but I would assign less meaning to that because it is a much... Read More »
The 40-Year Old SNF

First Quarter Occupancy Down Again

Seniors housing occupancy levels dropped both sequentially and year over year, but new development continues. While it did not come as much of a surprise, the recently reported occupancy trends from NIC MAP were certainly disheartening. For occupancy at stabilized assisted living communities in the top 100 markets to drop 70 basis points from the previous quarter, and 117 basis points from the year-ago quarter, to 87.9%, it just makes us wonder why there is still so much new development in the ground, and in planning.   Everyone thinks they have a better mouse trap, that their building is better, their staff will be better, the programs better….I could go on. The reality, however, is that... Read More »
Pricing “A” vs. “B” Seniors Housing Properties

Pricing “A” vs. “B” Seniors Housing Properties

On Thursday April 12, 2018, we hosted a webinar titled “Pricing “A” vs. “B” Seniors Housing Properties,” where moderator Steve Monroe and panelists Richard Swartz of Cushman & Wakefield, Wayne Kaplan of Premier Senior Living Group and Paul Froning of Focus Healthcare Partners spent 90 minutes detailing the ins and outs of investing in these two very different markets. The panel discussed current pricing of seniors housing properties (broken out between “A” and “B” properties), operating statistics (like occupancy, operating margin and NOI per unit) and cap rates. But they also covered who is buying “A” and “B” properties, and who is selling them, in addition to the risks and rewards of... Read More »