• 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 »
Where Will Independent Living Values Go?

Where Will Independent Living Values Go?

Here’s the good news and the bad news regarding the independent living market today. The good news is that the fundamentals of the sector were stronger than ever as recent as this March, with values nearing a peak, occupancy consistently above 90% nationally, rents staying strong, and the labor problems largely avoiding IL communities. The bad news is that move-ins may be delayed for months, a recession may make selling and moving out of one’s home (and into an IL community) less feasible, and the socialization benefit of these communities may change significantly for some time.   Anecdotally, we do hear of move-ins continuing at a steady pace, depending on the locality and... Read More »
Where Were Assisted Living Values At Their Pre-Pandemic Peak?

Where Were Assisted Living Values At Their Pre-Pandemic Peak?

Seniors housing values were at (or very close to) a peak by the beginning of March. Then, COVID-19 shut down the country, and those communities were forced to shut their doors, halt move-ins, and deal with the pandemic and their residents as best they could. Keeping those seniors safe and healthy is, of course, the first priority. But the drop in occupancy and cash flow is also a serious matter (how else can these communities stay open to care for seniors if they are not profitable, after all?) and may lead to a correction in values.   Just how large of a correction, we cannot be sure, but we do know where values were right before the pandemic hit. According... Read More »
Where Will Independent Living Values Go?

Q1 M&A Activity Falls Below 100 Deals

For the first time since the first quarter of 2018, quarterly seniors housing and care deals dropped below 100 in Q1:2020, to 93 deals. Averaging 31 deals per month is not too shabby, but compared with the red-hot M&A market of 2019, when 450 deals were publicly announced and likely over 600 were actually completed, it is a significant decline. Not surprisingly, the COVID-19 pandemic had a large part to play in the slowdown, but not as much as you may think in the first quarter. After all, large swaths of the U.S. economy were not shut down until mid-March, and deals that closed after that were all-but-completed by the time businesses shut their doors. They just needed a little nudge... Read More »
Senior Care M&A Spending Hits Highest Level Since 2014

Senior Care M&A Spending Hits Highest Level Since 2014

Total dollar volume did not break any records in 2019, but it was still the third-highest annual total ever recorded, and the highest since 2014 according to our just-published Senior Care Acquisition Report, 25th Edition. And that was without a single deal in the top-16 prices seen in the sector (2006 and 2014 had two and four, respectively). In fact, there were only two transactions valued above $1 billion: Ventas’ $1.8 billion purchase of Le Group Maurice’s Canadian seniors housing portfolio and KKR’s $1.75 billion acquisition of the Benchmark Senior Living portfolio from Welltower.   However, the 2019 M&A market was larger and busier than people think, and that is... Read More »
Assisted Living Values Break Record

Assisted Living Values Break Record

With cheap and abundant capital in hand, and plenty of brand-new properties built during the recent construction boom hitting the M&A market in 2019, buyers pushed assisted living values to the highest per-unit average ever recorded. The average price for assisted living communities rose to $248,400 per unit, or 33% higher than 2018’s average of $186,400 per unit and 12% higher than the previous high of $221,250 per unit in 2017, according the the Senior Care Acquisition Report. The median price per unit also reached a new high of $233,183 per unit, or 54% higher than 2018’s median and 8% higher than 2017’s. So, what explains this significant jump? First, investor interest in seniors... Read More »
PDPM Pushes Up Skilled Nursing Values in 2019

PDPM Pushes Up Skilled Nursing Values in 2019

Skilled nursing values rebounded in 2019 to a near-record high of $93,000 per bed. That is still shy of the highest average value ever recorded ($99,200 per bed in 2016), when a number of high-quality, high-Medicare/private pay census transitional care facilities sold. But it was still a very strong year. Most in the industry never fathomed that average would ever approach $100,000 per bed, but it is true that excluding certain high-barrier-to-entry markets, traditional long-term care facilities with majority-Medicaid censuses should never really reach that value. The 2019 average was 20% higher than the $77,500 per bed average in 2018, likely driven by a lot of optimism surrounding the... Read More »