• Healthcare REIT Divests SNF to In-Place Operating Partner

    Senior Living Investment Brokerage returned to West Des Moines, Iowa, to sell a skilled nursing facility that it had previously sold in 2019. A healthcare REIT was the buyer back then and is now selling the facility to its in-place regional operating partner. Built in 2004, Arbor Springs features 56 beds on an attractive four-acre campus about 10... Read More »
  • Near-Stabilized AL/MC Community Lands Refinance

    Carnegie Capital closed a bridge refinance for a 50-unit assisted living/memory care community in the Houston, Texas MSA. Four years ago, the property was bought by a California-based operator with a growing footprint in Texas. Performance was approximately two to three months from stabilization, but with the acquisition loan maturity looming, a... Read More »
  • Record-Setting HUD Express Lane Application to Commitment

    Cambridge Realty Capital provided a $6.15 million loan to refinance Avalon Memory Care Keller, a 50-bed stand-alone memory care community in Keller, Texas (Dallas-Fort Worth MSA). The fully amortized, 35-year HUD loan was provided for the owner, a Texas limited liability company, that wished to recast bank debt into a long-term non-recourse... Read More »
  • Large Healthcare Owner Receives Financing

    An owner of more than 80 healthcare properties spanning nine states secured bridge and working capital financing for its skilled nursing portfolio in Washington. The financing includes a $40 million bridge loan and a $6 million working capital line of credit, with a 36-month initial term. MONTICELLOAM provided the funding. Read More »
  • Out-of-State Owner Divests to Investor

    A couple of assisted living and memory care communities in Eastern Tennessee recently traded hands. The two properties comprise more than 100 units. A Chicago-based investor aligned with the seller’s long-term vision for the communities acquired the assets, and partnered with a regional operator that was looking to grow their presence in the... 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 »

North Shore Healthcare Dominates Wisconsin’s Skilled Nursing Market

North Shore Healthcare LLC has emerged as the dominant player in Wisconsin’s skilled nursing facility sector, according to the latest CMS data analysis. The company operates 51 skilled nursing facilities in Wisconsin and 5 in Minnesota, making it the largest skilled nursing provider in the Badger State. Portfolio Overview The company’s footprint spans across two Midwestern states with a clear concentration in Wisconsin: Wisconsin: 51 facilities (91% of portfolio) Minnesota: 5 facilities (9% of portfolio) All 56 facilities in North Shore’s portfolio are skilled nursing facilities, with no diversification into other healthcare sectors based on the most recent CMS data. This... Read More »

Providence Health & Services Maintains Strong Foothold in Alaska’s Skilled Nursing Sector

Providence Health & Services, one of the nation’s largest not-for-profit Catholic healthcare systems, continues to maintain a significant presence in Alaska’s skilled nursing facility (SNF) sector, according to the latest CMS data as of January 2025. Alaska Portfolio Highlights The data reveals that Providence Health & Services operates four skilled nursing facilities in Alaska, positioning it as one of the top owners in the state’s SNF sector. This matches the footprint of related entities Providence Health & Services – Washington and Providence St. Joseph Health, which also operate four SNFs each in Alaska. Beyond skilled nursing, Providence Health... Read More »

Charles 1994 Family Grantor Trust Emerges as Virginia’s Dominant Skilled Nursing Operator

The Charles 1994 Family Grantor Trust has established itself as the largest skilled nursing facility operator in Virginia, according to the latest Centers for Medicare & Medicaid Services (CMS) data. The trust currently operates 43 skilled nursing facilities across two states, with a significant concentration in Virginia. Portfolio Overview Analysis of the most recent CMS data reveals that the trust controls 35 skilled nursing facilities in Virginia and 8 in North Carolina. This substantial footprint makes it the dominant player in Virginia’s skilled nursing sector, where it has focused the majority of its operations. This specialized focus suggests a strategic commitment to the... Read More »