• Sabra’s Q4 Deals Push 2025 New Investments to $450 Million

    Sabra Health Care REIT released its fourth quarter results. On a year-over-year basis, same-store cash NOI increased 12.6% for the fourth quarter of 2025, while the 2025 quarterly year-over-year average increase was 15.0%, inclusive of the stabilized facilities formerly operated by Holiday Retirement.  Its Q4 acquisitions brought the... Read More »
  • CareTrust Closes 2025 with 169 New Property Investments

    CareTrust REIT came out with its fourth quarter and full-year 2025 earnings and is continuing on its growth trajectory. In Q4, the REIT added 19 properties to its portfolio, comprising 14 triple-net leased skilled nursing facilities, two triple-net leased seniors housing communities and three SHOP communities, all totaling $561.5 million in... Read More »
  • Separate Sellers Divest in Florida

    Berkadia announced two seniors housing closings, both involving communities in the Sunshine State. First, Berkadia represented a Maryland-based private equity investment firm in its divestment of a 130-unit independent living, assisted living and memory care community in the Jacksonville, Florida MSA. The asset was built in 2015. Ross Sanders,... Read More »
  • Idaho IL/AL Community Receives HUD Financing

    Berkadia secured $27.5 million in financing for a seniors housing community in Idaho. The asset comprises 191 independent living and assisted living units, and was 97% occupied at the time of closing. Bianca Andujo and Steve Muth closed the financing through HUD’s 232/223(f) program for a first-time Berkadia client based in Tennessee. The loan... Read More »
  • Welltower Releases Strong Results, Again

    Welltower announced its fourth quarter and full-year 2025 results, which reflected a strong year, as anticipated. Investors seemed to agree, with shares rising to an intraday high of 5.9% above the prior close the day following the release, before finishing up 3.5%.  In the fourth quarter, the REIT saw 400 basis points of average occupancy... Read More »
REIT Financing: RIDEA or Sale/Leaseback

REIT Financing: RIDEA or Sale/Leaseback

As healthcare REITs get ready to invest in 2018, it will be important for owners to know whether to go the traditional sale/leaseback route, or the newer RIDEA structure. Many of you have noticed that the volume of healthcare REIT financing has been lower the past couple of years, especially for those REITs that have been restructuring their portfolios. That is going to change. I suspect we will be seeing a turnaround in activity next year, and when that happens, it is best to be prepared. But prepared for what? Will customers want to continue with the traditional sale/leaseback structure that has been around for more than four decades? Or maybe a different twist on the old product? What... Read More »
REIT Financing: RIDEA or Sale/Leaseback

Change Will Be Coming To Seniors Housing

What if there is more to the decline in seniors housing occupancy than just new development? Sometimes it seems I just think too much about this industry. For instance, it has been bothering me that occupancy continues to decline, even in quarters when it should be rising. New development has been having an impact, of course. But what if there is something else going on, or maybe multiple things? A lot is going to happen, and change, between now and when the first boomer turns 80 in 2026, and we may have to wait until they are 85 or even older for the “big impact.” Everyone has been focused on this demographic, and there is the often discussed thought of, what if we increase penetration... Read More »
Private Equity Taking Center Stage

Private Equity Taking Center Stage

In every investment cycle, there are different factors that impact valuations and transaction volume. In the seniors housing and care acquisition market, there have been periods when public REITs came to dominate acquisition activity, then there were nontraded REITs that took center stage (at least for smaller transactions), and there has been the private equity (PE) market, which has very different investment criteria and time horizons than many of the other buyers. The two largest acquisitions by private equity firms in the seniors housing and care market occurred about 10 years ago. This was The Carlyle Group’s acquisition of Manor Care for $6.3 billion and The Fortress Group’s purchase... Read More »
REIT Financing: RIDEA or Sale/Leaseback

Financial Modeling for Seniors Housing Acquisitions Has Changed

Financial modeling for seniors housing and care is not as easy as it used to be, when revenues could be assumed to rise faster than expenses. Have you noticed that financial modeling for seniors housing and care is not as easy as it used to be? In the past, forecasters (and buyers) would model 2% increases in annual costs and 3% increases in revenues. This would build in a growing profit amount, which always looked good to lenders and investors. One of the problems with this was that annual capital expenditures were always, and I mean always, low-balled. Often it was a plug number at $300 per unit or bed, when it should have been three, four or five times that amount. The problem today is... Read More »
REIT Financing: RIDEA or Sale/Leaseback

Seniors Housing And Affordability

New development is widely blamed for occupancy declines, but affordability may be just as culpable. Declining occupancy in seniors housing has been a major issue for the past 18 months or so, and while it took some providers way too long to admit that new development was taking its toll on census, there may be other things at work. One big one is affordability. While analysts celebrate that rents have gone up 3% despite census declines, remember that the numbers are based on asking rents. Just possibly, however, those rising asking rents are scaring some people away. I have not seen any statistical analysis on this, but I think the seniors housing sector really has to take a hard look at... Read More »

Quality Care Properties Seeking Receiver for HCR ManorCare

Quality Care Properties is taking its issues with HCR ManorCare (the lack of full rent payments) one step further. Late yesterday QCP announced  that it is initiating a legal process to appoint an independent receiver to oversee the operation of the skilled nursing and assisted living properties that it owns which are leased to HCRMC. Apparently, the two companies had previously agreed that QCP would have the right to appoint a receiver to operate the properties if HCRMC defaulted on the leases. That default has already occurred. Assuming the California State Court appoints a receiver, QCP plans to start transitioning the properties to new owners and operators. They believe there will... Read More »