• 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 »
Two Sales Closed by the Knapp Group

Two Sales Closed by the Knapp Group

Knapp Group Seniors Housing Advisors of Marcus & Millichap closed a couple of sales around the Great Lakes. First, Jim and Justin Knapp teamed up to represent a local owner in their sale of an assisted living community in southeast Michigan, exactly 11 years after helping them initially acquire it. Built in 1987 and recently receiving significant upgrades, the 50-unit community was well occupied (over 90%) and operated at a 20.5% margin. With the new improvements, that margin should only improve. Another local owner/operator paid $6.5 million, or $130,000 per unit (at an 8.4% cap rate), for the property. Then Justin Knapp was the lead advisor in the sale of a 55-unit assisted... Read More »
Lending in Leominster

Lending in Leominster

KeyBank Real Estate Capital arranged a first mortgage through Fannie Mae on behalf of a Sunrise Senior Living property in Leominster, Massachusetts. Originally built in 1996 with 48 assisted living units, the property added 23 memory care units in 1999 and converted 10 existing AL units into nine MC units in 2013. In that most recent project, the owner also added a common room and dining room to the community. Now, to refinance existing debt, Carolyn Nazdin of KeyBank arranged a non-recourse $12.2 million loan, with a 10-year interest-only term. Read More »

Recent Senior Care M&A Deals, Week Ending April 5, 2019

Check out our recent senior care M&A deals! Long-Term Care AcquirerTargetPrice CareTrust REIT, Inc.Skilled nursing portfolio$211 million Private equity groupVista Gardens$22.8 million Strawberry Fields REIT LLCThe Waters of White Hall$6.85 million Regional owner/operatorRosewood Care Center of Galesburg$3.3 million Avamere Family of CompaniesMountain Ridge Assisted... Read More »
The Most-Active Acquirers of 2019, So Far

The Most-Active Acquirers of 2019, So Far

This may sound familiar, but CareTrust REIT and The Ensign Group have been the two most prolific acquirers of senior care assets so far this year, with four announced acquisitions each since January 1. This comes at a time with public operators and REITs are very publicly trimming their portfolios of either non-performing or non-core businesses. But, this isn’t simply a 2019 trend for CareTrust and Ensign, which announced 18 and 17 acquisitions, respectively, from 2017 to 2018. Neither company has shied away from a turnaround opportunity either, but they are clearly doing something well, as both are trading near their historical high share prices. CareTrust made the biggest splash in April... Read More »
HUD Has a Portfolio Sale

HUD Has a Portfolio Sale

It is not often that we see a portfolio sale coming from HUD, or any sale for that matter, since it has always expe­rienced a very low default rate. But given the difficulties other lenders and landlords have had with the skilled nursing sector the past few years, it should not come as a surprise. HUD is offering for sale a portfolio of 12 skilled nursing facilities and one supportive living facility in Illinois and Missouri. Six of the locations are in the Chicago MSA, three in the St. Louis MSA, two in the Peoria MSA, one in the Rockford, Illinois MSA, and one in the Davenport/ Moline/Rock Island, Iowa MSA. The licensed capacity of the portfolio is 1,662 beds, but the actual operating... 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 »
Monarch Advisors Sources Acquisition Financing for SLIB Deal

Monarch Advisors Sources Acquisition Financing for SLIB Deal

Jason Punzel, Brad Goodsell and Vince Viverito of Senior Living Investment Brokerage sold a 71-unit memory care community in Vista, California for $22.8 million, or about $321,000 per unit. Helping to push up that price was first, the location in the high-barrier-to-entry market of San Diego County, and second, its solid operations with a 29% margin on $5.85 million of revenues and an 88% occupancy rate. It was built in the last 10 years too, which helps. The single-asset, local owner decided to exit the industry, prompting the sale to a private equity group located in Colorado that owns several other senior living properties and some commercial assets around the country. SLIB’s affiliated... Read More »
Moving on in Milwaukee

Moving on in Milwaukee

Ray Giannini and John Klement of Marcus & Millichap helped the private owner of an assisted living community in Wisconsin exit the industry with its sale. Located minutes from downtown Milwaukee, Wisconsin in the town of Oak Creek, this 20-year old community has 36 private units, each with a bathroom and kitchenette. Occupancy was nearly full but mostly featured Wisconsin waiver residents, limiting the community’s potential cash flow. Aided by $500,000 of seller financing with a slightly-above-conventional interest rate, the buyer, a Chicago-based land entity, paid $3.8 million, or $105,600 per unit, at an approximate 9% cap rate. Read More »
Five Star Finally Restructures With Landlord

Five Star Finally Restructures With Landlord

Five Star Senior Living and Seniors Housing Properties Trust announce a dramatic restructuring of their relationship, and all shareholders seem to lose, at least for now. Five months after Five Star Senior Living issued its “going concern” announcement, the financially troubled company finally came to an agreement with its landlord, Senior Housing Properties Trust, to restructure its leases. Looking at the terms, it appears that both companies had a gun to their heads, as there really do not appear to be any winners here. Five Star will have the leases convert to a management contract by the end of this year, with reduced rents in the meantime, which obviously gives them a cash flow break,... Read More »
Meridian’s Half-Billion-Dollar Quarter

Meridian’s Half-Billion-Dollar Quarter

The team of Ari Adlerstein, Ari Dobkin and Josh Simpson of Meridian Capital Group had quite the Q1, closing more than $500 million across 17 transactions in nine states. Helping them reach that impressive mark were a couple of large financings for skilled nursing portfolio sales, including $126 million in both debt and equity arranged for Summit Healthcare REIT to purchase 14 skilled nursing facilities in Indiana. A finance company provided the $96 million loan, while an institutional investor funded the $30 million in equity. Then, on behalf of a private skilled nursing owner, Meridian arranged a $90 million loan (also provided by a finance company) to fund the acquisition of 12 SNFs in... Read More »
SLIB’s Solid Start to April

SLIB’s Solid Start to April

Senior Living Investment Brokerage kicked off its Q2 with two transactions announced on the first on the month. First, Brad Clousing and Jeff Binder headed to Cape Coral, Florida to sell an 80-unit assisted living community that was a geographical outlier for the previous owner. The seller was also looking to redeploy capital to its other communities and to fund future growth. Built in 1968 with a substantial renovation in 1995, the community was well-occupied at 94% at the time of marketing. However, it was also operating at a 19% margin on just under $3.2 million of revenues, so there is a value-add opportunity for the new regional owner/operator, which paid $6.275 million, or $78,400... Read More »