• Ventas Posts Healthy Q3 With Robust Acquisition Activity

    Among the earnings results trickling out this month, it will be impossible to overshadow Welltower’s announcement with $14 billion in new investment activity and another great quarter of seniors housing operating portfolio (SHOP) performance improvements. But Ventas reported healthy results, too, and some significant acquisition volume.  Ventas... Read More »
  • Senior Care Campus Components Sell to Separate Buyers

    Senwell Senior Investment Advisors facilitated two separate transactions involving the assisted living and skilled nursing components of a senior care campus in Mansfield, Ohio. The seller, a local not-for-profit, faced significant operational and financial challenges, prompting an urgent need for a transition. Senwell was engaged to identify... Read More »
  • Skilled Nursing Portfolio Secures Funds

    MONTICELLOAM, LLC announced that the firm, along with firm affiliates, funded $48.10 million in combined bridge and working capital funding for a three-facility skilled nursing portfolio in North Carolina. The transaction included a $45.6 million bridge financing and a $2.5 million working capital line of credit. The borrower, a returning client,... Read More »
  • Autumn Lake Healthcare Acquires Maryland SNFs

    First Citizens Bank’s Healthcare Finance business provided $338 million in financing to affiliates of Autumn Lake Healthcare for the acquisition of 12 Maryland skilled nursing facilities with over 1,500 beds. Based in Howell, New Jersey, Autumn Lake Healthcare’s portfolio includes 66 skilled nursing facilities totaling more than 8,200 beds... Read More »
  • Central Florida Portfolio Secures Financing

    Grace Hill Capital, a seniors housing capital advisory firm founded by Adam Shealy, closed a refinance and recapitalization of a four-community independent living, assisted living and memory care portfolio in Central Florida. The portfolio comprises five buildings totaling 257 units, operated by a regional provider with a proven record of... Read More »
Bifurcation Between Stabilized and Non-Stabilized SNFs Grew in 2020

Bifurcation Between Stabilized and Non-Stabilized SNFs Grew in 2020

In some ways, the pandemic only rubbed salt in the wound in terms of occupancy across skilled nursing facilities nationwide. Average census across the skilled nursing industry was already languishing between the mid- to low- 80% range before the pandemic temporarily shut the doors to many facilities, paused elective surgeries and sent more post-acute patients home to recover. These problems adversely affected the older, mostly-Medicaid facilities and were only made worse in 2020.   That means digging out from the pandemic will be a tougher assignment, and buyers paid accordingly in 2020, averaging $55,300 per bed for non-stabilized facilities reporting occupancy lower... Read More »
Senior Care Leading Indicators

Senior Care Leading Indicators

There has not been a lot of good news, but given some leading indicators, the next development boom may be a bit further out than we had expected four months ago. Our focus for the past 12 months has been on the coronavirus pandemic and what it has done to seniors housing and care occupancy rates. We are also on record as stating that getting back to pre-pandemic census levels may take up to four years, partly because we expect development to ramp up again when developers eye the post-2025 demographics. But something else has been happening that may keep some builders away. First, the 10-year treasury rate has more than doubled in the past seven months. Yes, 1.36% is still attractive, but... Read More »
Ventas Census Hits Low

Ventas Census Hits Low

Things will definitely start to get better as the vaccine finishes its roll out in senior living communities, but even more ground will have to be made up as a result of the continued deterioration in census in the past few months. Ventas, which just released its fourth quarter and full-year 2020 results, has not been immune to these declines, yet they see the light at the end of the tunnel.  On a same-community basis, the senior housing operating portfolio (SHOP) occupancy level dropped by 870 basis points in the fourth quarter compared to the same quarter last year, to a low of 79.6%. This is a total of 377 communities. But when the Canadian communities are removed (68... Read More »
Buyers Paid Premium For Strong Operations in 2020

Buyers Paid Premium For Strong Operations in 2020

In 2020, there was yet again a perfect correlation between the average price per unit paid for seniors housing communities and their operating margins. Throughout 2020, as occupancy and cash flow at senior care facilities dropped and costs of financing rose, we wondered exactly how the pandemic would affect the pricing of these assets. Would it have a disparate effect on skilled nursing versus seniors housing properties, older properties versus new ones, or on stabilized facilities versus non stabilized. We are almost done compiling all these statistics in the 26th Edition of The Senior Care Acquisition Report, but we wanted to highlight a historical trend that continued even through... Read More »
Diversified Healthcare Trust Update

Diversified Healthcare Trust Update

Diversified Healthcare Trust is feeling the pain that most of the REITs also have been feeling: census is still dropping. Its senior housing operating portfolio (SHOP) posted a 380-basis point decline in census in the fourth quarter. While not good, the progression was worse. It started with a 70-basis point drop in October, growing to 130 basis points in November and then a plunge of 180 basis points in December alone. And this when 93% of its SHOP communities, the vast majority managed by Five Star Senior Living, are open for new admissions.  What this means is that just because you are open for business, it does not necessarily mean people will move, even if it is safer... Read More »
Brookdale’s Census Continues To Tumble

Brookdale’s Census Continues To Tumble

Although not unexpected, occupancy levels at Brookdale Senior Living have continued to decline, much like the rest of the industry. But with Brookdale, occupancy at the end of December had tumbled to 71.5%, a 160-basis point decline from the end of November. This was the worst month-to-month decline since the end of April to May period, which was 150 basis points. The worst month came in April 2020 when the drop was 220 basis points. That was the previous COVID height, but the numbers nationally today are much worse. Average occupancy in December declined by 150 basis points to 71.5%.  We are not sure what to expect after the Christmas and New Year’s holidays and the associated spike in... Read More »