• 60 Seconds with Swett: The Republican Budget and Medicaid Cuts

    There will be significant political interest in what happens to Medicaid funding as Republicans work to pass a budget and tax bill with their very slim majority. Touching entitlements remains politically risky, and the party is divided on whether any Medicaid cuts would be acceptable heading into an election cycle. At this stage, per-capita caps... Read More »
  • Sonida Senior Living Continues Upward Trend

    We are at the end of the first quarter 2025 earning roll call, and Sonida Senior Living posted another solid quarter. Weighted average occupancy for its same-community portfolio (56 communities) increased by 100 basis points year over year to 86.8%, which is at the top end of many of its competitors. In addition, same-community RevPOR increased... Read More »
  • Regional Owner/Operator Purchases Turnaround SNF

    Evans Senior Investments was engaged by a regional owner in a partnership with the University of Michigan Health-West Hospital to facilitate the sale of a skilled nursing facility in Wyoming, Michigan. Opened nearly 10 years ago, Healthbridge Post Acute comprises 65 beds and was experiencing operational challenges, including an annual net... Read More »
  • Family Owner Divests CCRC to Not-For-Profit

    Senwell Senior Investment Advisors sold a family-owned/operated CCRC in Maumee, Ohio, to a not-for-profit organization. The community had been in the seller’s family for 75 years, but they are divesting to enter retirement. Established in 1949, Elizabeth Scott Community spans 51 acres and offers independent living, assisted living, memory care... Read More »
  • HUD-Backed Seniors Housing Community Opens on Long Island

    A HUD-financed seniors housing project has celebrated its grand opening in Bay Shore, New York. Netherbay at Bay Shore is a state-of-the-art assisted living/memory care community located at the historic Gulden family’s summer homestead on Long Island. It features 72 units and is operated by Meridian Senior Living. Greystone’s Lisa Fischman had... Read More »
NorthMarq Closes Southern California Transaction

NorthMarq Closes Southern California Transaction

NorthMarq’s Southern California-based investment sales team of Kyle Pinkalla and Shane Safer represented Shefflin Investments in its sale of a 151-unit active adult community in National City, California (San Diego MSA). Originally built in 1999, the three-story building features a mix of studio and one-bedroom units, plus one commercial site. Occupancy was 97% with rents ranging from $1,075 to $1,250 per month. Part of its appeal comes from the property’s location near both Scripps Mercy Hospital and Paradise Valley Hospital, in addition to shopping areas and entertainment. Messrs. Pinkalla and Shafer arranged the property’s sale to Lincoln Avenue Capital, LLC, a leading investor in... Read More »
Walker & Dunlop Finances Another Cascade Capital Group Acquisition

Walker & Dunlop Finances Another Cascade Capital Group Acquisition

Walker & Dunlop’s Joshua Rosen arranged bridge financing for Cascade Capital Group’s acquisition of a 136-bed supportive living facility in Aurora, Illinois. Totaling over $11.0 million, the debt was structured and provided by W&D’s bridge lending program, which utilizes the company’s own balance sheet. It came with a nine-month term and full term of interest-only payments and allow Cascade to quickly execute on the acquisition. The loan also features flexible prepayment options, and Cascade expects to refinance through HUD later this year. If this sounds familiar, it’s because in August 2019, Walker & Dunlop provided a $12.8 million loan from its balance sheet to cover 100% of... Read More »
2019 Sets Senior Care M&A Record

2019 Sets Senior Care M&A Record

What a year it was. We have now recorded 447 publicly announced seniors housing and care transactions in 2019, which is not only a record, but is also still just a preliminary number. Coming off of another record-breaking year in 2018, with 430 deals, the industry has amazingly surpassed that level of activity, by a whopping 5%. That’s what a lot of cheap capital can do. A busy fourth quarter pushed the sector to that unprecedented total, with 110 deals announced. As has historically been the case, private senior care providers made up the majority of buyers, accounting for nearly 50% of all Q4 acquisitions. REITs and real estate investment... Read More »
Blueprint Sells Successful Senior Living Community in Missouri

Blueprint Sells Successful Senior Living Community in Missouri

Brooks Blackmon and Ben Firestone of Blueprint Healthcare Real Estate Advisors sprung into action this year in Springfield, Missouri, where the pair sold a 119-unit senior living community on behalf of a Missouri-based ownership group. Originally built in 2008, the property was expanded in 2012 to keep up with local demand. It now features 54 independent living, 48 assisted living and 16 memory care units. The expansion was also clearly a good idea, as occupancy stood at 99% and operating margins have been consistently high. In addition to acquiring that steady stream of cash flow, a buyer would also keep the successful in-place operator, Arrow Senior Living. A Florida-based private equity... Read More »
NorthMarq Closes Southern California Transaction

Lancaster Pollard Refinances Plum Portfolio

It’s been quite a lucrative relationship between Lancaster Pollard and California-based skilled nursing operator, Plum Healthcare Group. About 18 months ago, Grant Goodman, Jason Dopoulos, Joe Munhall and Elliot Kaple secured $400 million in bridge financing from Credit Suisse on 27 skilled nursing facilities in California owned by Plum. However, that was short-term, corporate-level recourse-based debt, which did not give Plum much capital flexibility. So, upon closing of that transaction, Lancaster Pollard immediately began work on a HUD refinance, and the time has now come. On behalf of 26 of those facilities, Messrs. Goodman, Dopoulos and Kaple led the way on a $420 million HUD... Read More »
Greystone Closes HUD Loan for Long Island SNF

Greystone Closes HUD Loan for Long Island SNF

A large skilled nursing facility in Long Island, New York refinanced its existing bridge debt with a $71.3 million HUD loan provided by Greystone. Fred Levine originated the transaction, which came with a 30-year term, 30-year amortization, and a low, fixed interest rate. Originally built in 1974, the facility features 320 beds in Amityville. There is also an onsite 55-slot adult day care program. It was acquired by Northwell Health Inc. in 2012 as part of the company’s acquisition of Long Island Home (LIH), a not-for-profit entity that operated the SNF and an acute psychiatric hospital, South Oaks Hospital. However, Northwell’s strategic focus was on behavioral health, so it eventually... Read More »
Five Star Senior Living Soars

Five Star Senior Living Soars

Shares of Five Star Senior Living have soared by more than 60% this year, leaving everyone guessing. Right after all the restructuring was completed at year end between Five Star Senior Living and its landlord, now recently re-named Diversified Healthcare Trust, Five Star’s shares have taken off.  Two points to remember, though. Five Star just doled out about 26.5 million shares to Diversified and its shareholders to remove working capital liabilities. And, last October 1 they completed a 1-10 reverse stock split. That is important because now that the shares are trading at over $6.00 per share, for comparison purposes, that would be 60 cents per share four months ago. It just shows... Read More »
Marcus & Millichap Sells in Southwest Kentucky

Marcus & Millichap Sells in Southwest Kentucky

The Knapp Group of Marcus & Millichap announced the sale of a 42-unit assisted living community in rural southwest Kentucky. Built in 2014 on over 10 acres, the community boasted occupancy around 90% and strong cash flow. It was previously a family-run business, but the Knapp Group secured a local buyer to take over both ownership and the operations of the property. Justin Knapp and Jeff Hollister, both based in M&M’s Detroit office, were the key advisors on the deal, which featured a purchase price of $8 million, or $190,500 per unit. Read More »
Cambridge Realty Capital Refinances Illinois SLF

Cambridge Realty Capital Refinances Illinois SLF

Three years after acquiring a supportive living community in Pontiac, Illinois, a regional owner is refinancing the property with the help of Cambridge Realty Capital Companies. Originally built in 2009, the 60-unit community is made up of 52 private studio and eight one-bedroom units. It is also located just minutes from OSF St. James Hospital. At the time of its December 2016 sale, it was about 82% occupied, with a 16% operating margin on approximately $1.73 million of revenues. The purchase price came to $7.5 million, or $125,000 per unit. Now, Cambridge has secured a $7.6 million HUD loan, with a fully amortizing 35-year term, to refinance it. Read More »
Lancaster Pollard Finances New Transitional Care Facility

Lancaster Pollard Finances New Transitional Care Facility

Lancaster Pollard recently helped Innovative Health secure construction financing for their to-be-built skilled nursing facility in Aurora, Illinois. The transitional care facility will operate under the THRIVE brand and focus on short-term rehabilitation. It is being built with 68 beds in 60 units and 50,582 total square feet on a 4.25-acre site. According to public documents, the project cost is around $15.9 million, or $233,800 per bed. Brett Murphy of Lancaster Pollard secured a $14.75 million loan through HUD to fund the project, which is the third currently under construction by Innovative Health and its Chicago-based parent company. Those other developments are located in Mundelein... Read More »
Fourth Quarter Occupancy Nudges Up

Fourth Quarter Occupancy Nudges Up

Some good news was recently released by NIC MAP, showing occupancy rates for stabilized seniors housing communities (independent living and assisted living) increasing by 10 basis points sequentially, but a four-basis point decline year over year. The assisted living market, which has been the most troubled over the past several years, saw a 20-basis point increase sequentially, but a 14-basis point decline year over year. The bottom line is that while some progress has been made recently, we are still way behind a year and two ago, with a long way to go to really get to “stabilization” as an industry. The other good news is that absorption is running ahead of trailing-12 month new... Read More »