• 60 Seconds with Swett: M&A Activity Tops 350 Deals in H1:25

    In the second quarter of 2025, there were 176 publicly announced transactions, a preliminary number that is almost certain to increase in the weeks ahead. That brings our total for the first half of the year to 355 deals, or 710 on an annualized basis. Considering we finished 2024 with 716 total deals, which was a record by far, we are in a good... Read More »
  • Bloom Exits South Carolina’s Seniors Housing Market

    Kandu Capital, LLC, and its operating company, Bloom Senior Living, collectively known as Bloom, sold its final seniors housing community in South Carolina. The company is seeking realignment as it exits the state after a decade-long presence in the region. The 129-unit independent living and memory care community, which is in Bluffton, sold for... Read More »
  • Improving Ohio SNF Sees Strong Price

    Ryan Saul of Senior Living Investment Brokerage secured a strong price for a skilled nursing facility in Cincinnati, Ohio. Built in 1965, the facility was originally licensed for 199 beds, but the decision was made to strategically reduce the beds to 167 to save on provider tax and improve the Medicaid rate.  The facility struggled for many... Read More »
  • Stacked Stone Ventures Makes Major SNF Acquisition

    Stacked Stone Ventures, a real estate investment firm founded by Kent Eikanas, has made a major acquisition in the skilled nursing sector, acquiring nine skilled nursing facilities for approximately $33 million, or $66,000 per bed, at a 13% cap rate. Stacked Stone bought the portfolio in a joint venture with Praxis Capital from a large... Read More »
  • Tremper Capital Group Announces Two Refinances

    Tremper Capital Group announced a couple of refinances at the end of the second quarter for seniors housing clients. The first was arranged on behalf of Kisco Senior Living for its 333-unit entrance-fee CCRC in Palm Beach Gardens, Florida. Built in 2004, the campus was acquired by Kisco as part of a larger CCRC deal in 2013, and since then it... Read More »

VSL Vetter Health Services’s Skilled Nursing Presence in Nebraska

Led by President Glenn Van Ekeren, VSL Vetter Health Services LLC is a not-for-profit senior care provider headquartered in Elkhorn, Nebraska, and has established itself as one of the top players in Nebraska’s skilled nursing sector, according to the latest CMS data analysis. Portfolio Overview and Ownership Structure The organization is affiliated with 30 healthcare facilities across two states, with a strong concentration in Nebraska. Their portfolio includes: 24 skilled nursing facilities (80% of portfolio) 3 home health agencies (10% of portfolio) 3 hospice providers (10% of portfolio) Nebraska represents the core of VSL Vetter’s operations, housing 29 facilities, while... Read More »

PACS Holdings Emerges as Major Skilled Nursing Owner with Strong South Carolina Presence

PACS Holdings, LLC, a subsidiary of PACS Group, Inc. (NYSE: PACS), has established itself as one of the largest skilled nursing facility owners in South Carolina, according to recent CMS data analysis. The company currently owns 19 skilled nursing facilities in South Carolina, matching its footprint in Colorado while maintaining a significant national presence across nine states. Portfolio Overview Data from the most recent CMS upload reveals that PACS Holdings owns a total of 181 skilled nursing facilities nationwide. The company’s portfolio is heavily concentrated in California with 118 facilities, representing 65% of its total operations. South Carolina and Colorado each host 19... Read More »

Doros Generation Trust: Major Midwest Skilled Nursing Facility Owner

“Doros Generation Trust U/A/D 1/3/12” has established itself as one of the dominant players in the skilled nursing facility (SNF) sector across the Midwest, with a particularly strong presence in South Dakota, according to the latest CMS data analysis. Portfolio Overview The trust currently owns 61 skilled nursing facilities across three Midwest states, with Illinois representing its largest market at 41 facilities, followed by South Dakota with 14 facilities, and Iowa with 6 facilities. Doros Generation Trust is one of the top three owners of skilled nursing facilities in South Dakota, alongside Gpn Family Trust U/A/D 04/28/08 and Legacy Healthcare Financial Services LLC.... Read More »

Fundamental Healthcare Maintains Strong Nevada Skilled Nursing Presence

THI of Baltimore, Inc., a wholly-owned subsidiary of Fundamental Healthcare, continues to maintain a significant footprint in Nevada’s skilled nursing sector, according to the latest CMS data analysis. The Maryland-based company owns seven skilled nursing facilities in Nevada, matching Hunt Valley Holdings LLC for the largest ownership position in the state’s skilled nursing market. Portfolio Overview THI of Baltimore’s portfolio includes 42 healthcare facilities across six states, with 39 skilled nursing facilities and 3 hospitals. The company’s strongest presence is in South Carolina with 19 facilities, followed by Maryland (11), and Nevada (9). The Nevada... Read More »

Foundations Health Dominates Ohio Skilled Nursing Market with 57 Facilities

Foundations Health LLC, Ohio’s largest skilled nursing facility operator, maintains a commanding presence in the state’s skilled nursing market with 57 facilities, according to the latest CMS data. The company was founded and is led by CEO Brian Colleran. Market Leadership Analysis of the most recent CMS data reveals Foundations Health as the dominant player in Ohio’s skilled nursing landscape, with nearly five dozen facilities exclusively within state borders. The company offers a range of services including post-hospital care, skilled nursing, inpatient rehabilitation, long-term care, memory care, and ventilator services. Ownership Structure Foundations Health maintains... Read More »

National Healthcare Corporation Dominates Tennessee Skilled Nursing Market

National Healthcare Corporation (NHC) has established itself as the largest owner of skilled nursing facilities in Tennessee, according to the latest Centers for Medicare & Medicaid Services (CMS) data. The Murfreesboro-based healthcare provider is affiliated with 34 skilled nursing facilities in Tennessee alone, highlighting its significant market presence in its home state. Extensive Portfolio Across Multiple States NHC’s operational footprint extends well beyond Tennessee, with a total of 89 healthcare facilities across eight states as of the most recent CMS reporting period. The company’s portfolio includes: 64 skilled nursing facilities 20 home health agencies 3... Read More »