• Spotlight on Senior Care M&A, Seventh Edition

    The SeniorCare Investor is releasing a mid-year update of its key valuation statistics for the assisted living, independent living and skilled nursing sectors in its latest report: Spotlight on Senior Care M&A. Check out the average prices and cap rates, as well as analysis of industry headwinds and tailwinds. Read More »
  • PACS Gets Trading Period Extension

    PACS Group is trying to right the ship as it works to restate its prior financial statements amid an investigation into its Medicare billing practices, and return to providing regular quarterly earnings statements. The New York Stock Exchange Listing Operations Committee did agree to provide PACS with an additional trading period through November... Read More »
  • Outcome Healthcare Acquires Pennsylvania SNF

    Evans Senior Investments facilitated the sale of Mahoning Valley Nursing & Rehabilitation Center, a 142-bed skilled nursing facility in Lehighton, Pennsylvania. The seller, an independent owner, faced increasing financial and operational pressures in today’s skilled nursing environment. The selected buyer was a regional operator with a... Read More »
  • Full Continuum Community Obtains Refinancing

    CBRE National Senior Housing refinanced The Pointe at Meridian, a 100-unit seniors housing community in Meridian, Idaho. Built in 2022, The Pointe at Meridian was built in 2022 and consists of 60 independent living units, including 14 townhome units, 30 assisted living units and 10 memory care units. Grace Management took over management of the... Read More »
  • Arizona Seniors Housing Development Secures Construction Financing

    Fifty Stones Capital Group closed a $39.3 million construction loan for a seniors housing community in Chandler, Arizona. The proposed development comprises 147 units with 150 beds. The opportunity came to Fifty Stones Capital Group through a local broker.  The sponsor, an experienced local developer with a focus on multifamily and senior... Read More »
Pricing Age in Skilled Nursing Facilities

Pricing Age in Skilled Nursing Facilities

There are plenty of issues that come along with the aging of the skilled nursing facility inventory. Older facilities require more capex to keep operations up to snuff, have trouble attracting the coveted Medicare and private insurance patients, and often have far fewer private units but more three- or four-bed wards. In addition, it has to be more difficult attracting and retaining staff at an older facility, especially when a newer facility often comes with more bells and whistles in addition to newer technology that makes those employees’ jobs easier. Where would you rather work? So, in the M&A market, how did those older facilities fare compare with the newer ones? Well, there was... Read More »
Another Valuation Metric for the 2018 Seniors Housing M&A Market

Another Valuation Metric for the 2018 Seniors Housing M&A Market

In a year when both the assisted living and independent living average cap rates rose, how did the sectors’ average Gross Income Multiples (GIM) change year over year? Well, they accordingly fell off their 2017 levels, mirroring their changes in cap rate, according to The Seniors Housing Acquisition & Investment Report. The average independent living GIM fell to its lowest point in five years at 5.0x, while the assisted living GIM dropped 70 basis points to 3.2x, also a five-year low. The difference between the sectors can be explained by the higher risk of owning assisted living communities. The IL market, on the other hand, has seen far less new construction and more stable occupancy... Read More »
How Did Buyers Value Cash Flow in Seniors Housing M&A in 2018?

How Did Buyers Value Cash Flow in Seniors Housing M&A in 2018?

For the seventh year in a row, there was a perfect correlation between the age of seniors housing communities sold and their average net operating income per unit, according to the Seniors Housing Acquisition & Investment Report. This makes sense, given that the newer communities should better reflect the current demand (by unit size, amenities, etc.) and require less capex to maintain their competitiveness. Newer communities also have an easier time attracting good staff and charging higher rents. Those newest communities (built after 2013) had an average of $19,700 per unit of NOI, relatively consistent with recent levels. The next subset of properties built between five and 10 years... Read More »
What About the CCRC M&A Market?

What About the CCRC M&A Market?

The CCRC (or LPC) acquisition market, which we highlighted in the First Edition of The Seniors Housing Acquisition & Investment Report, is the thinnest of all the major sectors of seniors housing and care. The number of potential buyers is smaller, the lender and investor pool is smaller, and the number communities for sale each year is smaller. Because the market is not very active, we have grouped our statistics in two-year intervals (with the exception of the three-year period before the Great Recession) to minimize the impact of outlier sales at both extremes. Anecdotally, we have heard that the CCRC market is possibly faring the strongest of the seniors housing sectors. There has... Read More »
How Occupancy Impacted 2018 Assisted Living Values

How Occupancy Impacted 2018 Assisted Living Values

As we’ve mentioned several times, 2018 was a tough year for assisted living occupancy, as new development took its toll on a number of markets. Low occupancy often leads to lower operating margins and less cash flow, especially when operators feel the need to heavily discount their rates in order to fill beds, so it’s a serious issue for the industry. In our Seniors Housing Acquisition & Investment Report, “stabilized” means having an occupancy equal to or higher than 85%. And while there are some operators not pleased with their “stabilized” communities occupied in the 80s, it could be worse, and there was clearly a premium paid for existing census in 2018. Stabilized communities sold... Read More »
Older, Struggling SNFs Had More Weight In 2018 Market

Older, Struggling SNFs Had More Weight In 2018 Market

We have historically presented our cap rate analysis on an unweighted average basis, weighting the cap rate for a 60-bed skilled nursing facility and a portfolio of 20 facilities the same in our Skilled Nursing Acquisition & Investment Report (which you can still order here). Many buyers believe that a portfolio should command a lower cap rate than a single-asset sale, but that often depends on the quality of the portfolio and whether there are any stinkers in the portfolio. A weighted average cap rate thus removes this bias. What this has shown is that over time since we started separating out these two averages is that there has been very little difference between the two cap rate... Read More »