• Brookdale Boosts Short Term Stability

    Brookdale Senior Living completed a series of financing transactions totaling approximately $600 million that refinanced all of its remaining 2026 mortgage debt and maturities, around $350 million, and a portion of 2027 mortgage debt maturities, approximately $200 million. The company also secured more fixed-rate debt, helping to cut rate risk.... Read More »
  • Ikaria Announces $1 Billion in Q4 Volume

    Ikaria Capital Group closed out a successful 2025, announcing several significant transactions in the fourth quarter that exceeded $1 billion in volume. The activity comprises financings in the seniors housing, skilled nursing and behavioral health sectors across multiple states and borrowers.  The largest deal was a $595.5 million senior... Read More »
  • PE Group Enters Oklahoma after Medicaid Rate Bump

    A skilled nursing facility in Oklahoma that recently benefited from the state’s Medicaid rate bump sold to a national private equity firm looking to enter the state. Built in 1967, Maplewood Care Center features 180 beds on over three acres in Tulsa. It is located close to several major hospitals and healthcare campuses, but occupancy was sitting... Read More »
  • Community Purchased through HUD Assumption

    Chad Mundy of the Knapp-Stahler Group of Marcus & Millichap sold an 82-unit assisted living/memory care community in Lewiston, Idaho. Built in phases in the early 2000s, the community featured five separate buildings, one of which was vacant after sustaining damage from a flood. As a result, occupancy was lower, based on the 89 licensed beds,... Read More »
  • The Zett Group Rounds Out Q4

    The Zett Group closed out Q4 with several closings in the Pacific Northwest. First was the sale of Fox Hollow, a 58-unit seniors housing community in Eugene, Oregon. Built in 1988 and renovated in 2003, the community features 51 assisted living units and seven independent living “cottage-style” units. Set in a nice area of Eugene, it was owned by... Read More »
Ikaria Capital Group Launches

Ikaria Capital Group Launches

Ikaria Capital Group, led by Jason Dopoulos and Ken Gould who were formerly with White Oak Healthcare Partners and Lancaster Pollard, announced its launch. Headquartered in Cleveland, Ohio, Ikaria specializes in financing skilled nursing and seniors housing communities. Ikaria brings more than 100 years of collective experience in financing, structuring, underwriting, servicing and asset-managing bridge and FHA/HUD loans.  Ikaria’s platform specializes in debt solutions, including bridges for acquisitions, recapitalizations, refinances and construction, permanent (long-term) debt structures, FHA/HUD loans and working capital lines for skilled nursing, hospitals and other healthcare... Read More »

Beaver Valley Hospital “Owns” 37 Skilled Nursing Facilities in Utah

Beaver Valley Hospital, a city-owned critical access hospital, has established itself as the largest operator of skilled nursing facilities in Utah, according to the latest Centers for Medicare & Medicaid Services (CMS) data. Market Position Analysis of the most recent CMS data reveals that Beaver Valley Hospital operates 37 skilled nursing facilities across Utah, making it the state’s largest skilled nursing facility owner. In the state of Utah, it is common for hospitals to contract with skilled nursing facilities to be their licensed operator (on paper) despite not owning the real estate associated with the facility. Beaver Valley Hospital has one of those arrangements.... Read More »

Spartan Healthcare Emerges as Minnesota’s Largest Skilled Nursing Operator

Spartan Healthcare LLC has established itself as the dominant skilled nursing facility operator in Minnesota, controlling 45 facilities across the state according to the most recent CMS data. This positions the company as the largest skilled nursing operator in Minnesota, narrowly outpacing competitors Yazoma Holdings, LLC and NIJ LLC, which each operate 44 facilities. Portfolio Concentration The company’s portfolio is exclusively concentrated in Minnesota’s skilled nursing sector, with no facilities in other states or healthcare segments. This strategic focus has allowed Spartan Healthcare to develop specialized expertise in Minnesota’s regulatory environment. Ownership... Read More »

LTC Management Services Dominates Missouri Skilled Nursing Market

LTC Management Services LLC has established itself as the dominant player in Missouri’s skilled nursing facility sector, according to the latest CMS data analysis. The company operates 37 skilled nursing facilities in Missouri, making it the largest owner in the state’s skilled nursing market. Portfolio Overview With a total of 42 skilled nursing facilities across two states, LTC Management Services LLC maintains a strong regional presence in the Midwest. The company’s portfolio includes 37 facilities in Missouri and 5 in Arkansas, all within the skilled nursing sector. This strategic concentration allows the company to leverage operational efficiencies while maintaining... Read More »

Regional Care LLC Dominates Mississippi Skilled Nursing Market

Regional Care LLC has established itself as the dominant player in Mississippi’s skilled nursing facility sector, operating 22 facilities across the state according to the most recent CMS data. This significant market presence positions the company as a key stakeholder in Mississippi’s long-term care landscape. Operational Footprint The company’s portfolio consists exclusively of skilled nursing facilities, all located within Mississippi. Regional Care LLC maintains operational and managerial control of these facilities rather than direct ownership, suggesting a management-focused business model. Regulatory Environment Impact Mississippi’s regulatory framework... Read More »

Sanford Health Emerges as Leading Skilled Nursing Provider in North Dakota

Sanford Health has established itself as one of the dominant players in North Dakota’s skilled nursing facility sector, according to the latest Centers for Medicare & Medicaid Services (CMS) data. The non-profit healthcare system shares the top position with The Evangelical Lutheran Good Samaritan Society (which it merged with more than five years ago), with each organization operating 10 skilled nursing facilities in the state. Extensive Regional Footprint The healthcare giant’s presence extends well beyond North Dakota. Sanford operates a total of 106 skilled nursing facilities across 15 states, with its strongest presence in Minnesota (24 facilities), Iowa (15), Nebraska... Read More »