• 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 »
Colliers Closes South Carolina Sale

Colliers Closes South Carolina Sale

Marcus Van Ameringen of Colliers International handled the sale of a well-operating senior care facility on the outskirts of Columbia, South Carolina. Despite being built in 1980, the 64-bed facility is dually certified for skilled nursing and assisted living. The previous owner regularly invested capex in the property and clearly managed it well, as evidenced by a Deficiency Free Survey 2016 and four-star rating from CMS. The implementation of PDPM should boost the SNF operations too, when it goes into effect next month. Mainstay Senior Living was the buyer, paying $2.4 million, or $37,500 per bed, at an 11.5% cap rate. They plan to add a dedicated post-acute rehabilitation unit, upgrade... Read More »
Ignite Medical Resorts Acquires Kansas City SNF

Ignite Medical Resorts Acquires Kansas City SNF

Ignite Medical Resorts is doubling down on the Kansas City skilled nursing market. Last week, the operator took over management of a 90-bed SNF on the Missouri side that was acquired by LTC Properties for $19.5 million, or $216,700 per bed. The facility was just built in 2018 and leased to Ignite under a 12-year term at an initial cash yield of 8.3%, escalating 2% annually, with two five-year renewals. Occupancy was already strong at 90%, and the facility generated more than $12 million in annualized revenues. It was also announced that Ignite would take over the operations of a 90-bed post-acute/skilled nursing facility in Independence, Missouri currently being developed by LTC and Avenue... Read More »
Diversicare Healthcare Delisted

Diversicare Healthcare Delisted

Just two days ago on these pages, we warned that the share price of Diversicare Healthcare Services was trending dangerously low. We weren’t kidding. The next day the shares were delisted from NASDAQ because they no longer met the minimum market value requirement of at least $35 million. That’s for sure, and with several days of double-digit price declines, the market cap of less than $10 million is just 30% of the required minimum. Management’s appeal to avoid the delisting decision was denied. The share price hit a 52-week low of $1.16 yesterday, down nearly 50% in just a few days. Unfortunately, it doesn’t take much when your shares are under $2.00 each. Just $70,000 of trades took the... Read More »
White Oak Healthcare REIT Acquires Again

White Oak Healthcare REIT Acquires Again

Earlier this week, we highlighted White Oak Healthcare REIT’s acquisition of four senior living properties in Arkansas (2), Florida and Pennsylvania, but the REIT’s recent run of activity doesn’t end there. White Oak also acquired two senior living communities in Loganville and Conyers, Georgia. Both considered to be value-add investments, the properties were built in the 1990s and total 156 independent living, 140 assisted living and 32 memory care units. They were operated by Senior Lifestyle and owned by an undisclosed private equity group, which hired Mike Garbers and Cody Tremper of JLL Capital Markets to market and sell the properties. White Oak’s joint venture partner on the deal,... Read More »
Capital Funding Group Funds Portopiccolo Purchase

Capital Funding Group Funds Portopiccolo Purchase

The Portopiccolo Group picked up another two skilled nursing facilities, following its acquisition of a North Carolina SNF earlier this summer. The most recent targets included a 130-bed pediatric and geriatric rehab facility in Dunn Loring, Virginia (Washington, D.C. MSA), and a 74-bed skilled nursing facility in Silver Spring, Maryland (also D.C. MSA). Accordius Health, an operating platform of Portopiccolo, will take over management of the facilities. To fund the acquisition, Portopiccolo obtained several tranches of financing, arranged, agented and participated by Capital Funding Group (CFG). Tim Eberhardt originated the transaction, which includes a $30.6 million senior loan, a $3.8... Read More »
Blueprint Finds Tenant for Toledo SNF

Blueprint Finds Tenant for Toledo SNF

The team at Blueprint Healthcare Real Estate Advisors showed their expertise in finding a new tenant for a 150-bed skilled nursing facility near Toledo, Ohio. Working on behalf of the landlord, a New York-based investment management firm that focuses on long-term care, Gideon Orion, Connor Doherty and Ryan Kelly were able to execute a change of operator less than 60 days from LOI to transition date. The new creditworthy operator entered into a multi-year, triple-net lease with plans to execute on a purchase option by 2021. In the process, the facility was also able to raise its Medicaid per-patient-day rate by about $23. That should make the transition even smoother. Read More »
Confluent Opens Five Communities Across the Country

Confluent Opens Five Communities Across the Country

The general consensus (with several dissenters) is that senior living construction has (finally) slowed down, after a long period of overdevelopment in many markets. Considering the downstream effects of this, from a tighter, more expensive labor market to lower occupancy, the slowdown is a good thing, especially since most of those elusive baby boomers won’t be moving into senior living any time soon. However, not every market experienced the woes of overdevelopment, and Confluent Senior Living announced that it has recently opened five senior living communities away from those biggest problem areas (were looking at you, Houston). Partnering with MorningStar Senior Living, Confluent... Read More »
The Labor Problem and Culture

The Labor Problem and Culture

As we approach Labor Day, we really need to work on solving the industry’s labor problems. I know it’s a bit of a cliché to talk about labor just before Labor Day, but what the Hell. To me, this is the most pressing issue for the entire seniors housing and care industry. Not only because labor represents well more than half of your costs, but because your employees are so critical in their interaction with your customers, both the residents and the family members. And to your success. But you know all this. Why is it that every time I walk into a hotel, from the bellhop to the desk clerk to the housekeeper walking down the hall, they all greet me with a smile and a hello? Are they... Read More »
Diversicare Healthcare Services Trending Dangerously Low

Diversicare Healthcare Services Trending Dangerously Low

Shareholders of Diversicare Healthcare Services have been pummeled recently, with the share price down about 65% in the past 12 months, and down 40% since July 1. Not what shareholders want to see, especially with the markets as strong as they have been (with the frequent hiccups, of course). The company is the smallest of the publicly traded skilled nursing companies, with 72 SNFs and 8,214 beds in operation as of June 30 plus an additional 429 assisted living and personal care beds. But to report adjusted EBITDA of just $600,000 in the second quarter was, well, just too much, and the news sent the price diving. Year-over-year skilled nursing occupancy declined by 130 basis points to... Read More »
M&A Strong Throughout Healthcare Service Sectors

M&A Strong Throughout Healthcare Service Sectors

M&A may be booming in the senior care industry, but what about the other healthcare service sectors? In four just-published reports (which you can get here), we examined the Home Health Care & Hospice, Behavioral Health Care, Physician Medical Groups and Hospitals sectors. Two and a half years of deal comps are also in the back of each report. Private equity has driven much of the interest in these sectors, particularly the businesses with little government reimbursement, like dermatology, dental practices and ambulatory surgery centers. In fragmented sectors, like home health and behavioral health, many strategic buyers have also worked to build scale through a number of add-on... Read More »