• 60 Seconds with Swett: Senior Care’s PR Problem

    Recently, we have seen stories circulating about the connection between REIT ownership and the way skilled nursing facilities provide care, stemming from a study written by the nonprofit journalism outlet KFF Health News. We’ve seen this before, headlines like “real estate investors profit while patients suffer,” usually with graphic cases of... Read More »
  • Blueprint Sets Pricing Record in New York State

    Blueprint advised a repeat private equity client in a record-setting sale of two standalone memory care communities in high barrier-to-entry submarkets in New York State. Combining for 104 units, these assets were purpose-built in the late 1990s and were stabilized at the time of the deal. Not only that, they were generating cash flow in excess... Read More »
  • CareTrust Keeps Its Foot on the Gas

    CareTrust REIT has deployed nearly $1 billion in closed transactions so far this year, after closing around $1.8 billion in investment activity in 2025, and its pipeline includes $450 million of near-term, actionable opportunities, excluding larger portfolio transactions. The REIT announced that it closed a few separate transactions in mid-April,... Read More »
  • VIUM Capital Announces Slew of HUD Closings

    VIUM Capital closed four HUD 232/223(f) financings in March totaling more than $63 million across a mix of skilled nursing and seniors housing communities. Two of the financings involved skilled nursing facilities in Oklahoma totaling 176 beds. The assets were originally acquired as part of a larger portfolio and refinanced following a... Read More »
  • Lument Secures HUD Express Lane Transaction

    Lument closed a refinance through HUD’s Express Lane for a 120-unit seniors housing community in Lincoln, Nebraska. Built in 2017, Pemberly Place Senior Living features 132 licensed beds and offers independent living, assisted living and memory care services. It also has an on-site medical clinic to offer a range of other healthcare services. The... Read More »
Are Nursing Home Residents Really “Sitting Ducks”?

Are Nursing Home Residents Really “Sitting Ducks”?

Nursing home residents live there because they are frail and often with major illnesses. As a result, they are more prone to infections than others, with worse outcomes. But don’t call them sitting ducks. We all know that The New York Times has had an issue with the entire skilled nursing sector for many years. They just like to pick on it, and when there is a major problem, they pounce. Much like they did last year with the record HUD loan loss, and now this year with the pandemic. But what really irritated me was the recent front-page headline which included, “Residents Are Sitting Ducks.” Now, this phrase did come from someone they interviewed, but the only thing the reader will... Read More »
Meridian Capital Group Closes Several Financings and a Sale

Meridian Capital Group Closes Several Financings and a Sale

The team at Meridian Capital Group has been hard at work closing a number of transactions in the last few weeks. They have clearly gained some experience on how to get deals done in this COVID-19 environment, which we recently highlighted in a Q&A with Ari Adlerstein, Ari Dobkin and Josh Simpson.  For a total of 13 skilled nursing facilities in four states, the team closed $165 million in transaction volume since the end of March. The largest financing was a $39 million non-recourse loan, with a 10-year term and aggressive pricing from a commercial bank, to refinance two skilled nursing facilities and 240 total beds in Maryland. The Meridian trio also refinanced five skilled nursing... Read More »
M&T Realty Finances King County Senior Living Community

M&T Realty Finances King County Senior Living Community

Following a recent expansion of its senior living community in King County, Washington, a family owner turned to Steve Muth of M&T Realty Capital Corporation to secure Freddie Mac financing for it. The borrower originally built the property (located in Enumclaw about 35 miles southeast of Seattle) in 1986 with just 45 units, but in February 2018, they completed an expansion and renovation that brought the total number of units to 108, with 50 independent living, 37 assisted living and 21 memory care units.   This was the owner’s first Freddie Mac transaction, which consisted of a $16.8 million loan arranged through the agency’s Optigo® program to pay off the construction loan from... Read More »
MONTICELLOAM Arranges Acquisition Loan for Maryland SNF Portfolio

MONTICELLOAM Arranges Acquisition Loan for Maryland SNF Portfolio

MONTICELLOAM, LLC (Monticello) is continuing its April activity with an acquisition financing closed for a skilled nursing portfolio with 460 total beds in Maryland. The buyer was an experienced owner/operator with a current portfolio of 2,459 licensed beds. They have also worked with Monticello before, receiving acquisition financings for a number of other facilities in 2019 and 2020.  The most recent transaction consisted of $66.6 million in first lien debt, with comes out to nearly $145,000 per bed, a high figure for skilled nursing facilities, even in the state of Maryland. It all depends on payor mix, occupancy and most importantly, cash flow, and these facilities must be... Read More »
Capital Senior Living Files Registration Statement

Capital Senior Living Files Registration Statement

At the end of last week, Capital Senior Living filed an S-3 registration statement for the issuance of up to $150 million in various securities. And when we say “various,” we mean it. It could be common stock, preferred stock, senior debt, subordinated debt, depositary shares, warrants, rights, units, purchase contracts…you name it. What we don’t know is if this was just a formality, with this shelf registration statement replacing an old one that was expiring. If so, no big deal. If not, and if they might issue new debt, stock or other securities, that could be a troublesome sign.  After their fourth quarter earnings call, we felt a little better about their prospects, with... Read More »
Helios Healthcare Advisors Sources Tenant in Texas SNF Sale

Helios Healthcare Advisors Sources Tenant in Texas SNF Sale

At the start of April, the team at Helios Healthcare Advisors including Jeff Rhodes, Bill Janis and Mario Wilson, successfully sourced a tenant and structured the lease of a 150-bed skilled nursing facility in Kerrville, Texas. We’re not sure how operational transitions go these days, but we can’t imagine they’re easy.  Blueprint Healthcare Real Estate Advisors (Mr. Wilson’s former stomping grounds) announced the deal last week, representing the REIT seller. Built in 2006, the facility was enrolled in the Texas Quality Incentive Payment Program (QIPP). Formerly operated by Southwest LTC, its occupancy was in the low-50% range, but cash flow (before the QIPP revenue) was... Read More »
Recent Senior Care M&A Deals, Week Ending April 10, 2020

Recent Senior Care M&A Deals, Week Ending April 10, 2020

Yes, deals are still getting done these days. Check out our recent senior care M&A transactions! Long-Term Care AcquirerTargetPrice Greystar & foreign investorOverture San Marcos & Overture RiverwalkN/A Local buyerAssisted living/memory care community near Pittsburgh, PAN/A East Coast owner/operatorSkilled nursing facility near St. Louis, MON/A Mt. Si Senior CenterCascade Park Seniors... Read More »
Q1 M&A Activity Falls Below 100 Deals

Q1 M&A Activity Falls Below 100 Deals

For the first time since the first quarter of 2018, quarterly seniors housing and care deals dropped below 100 in Q1:2020, to 93 deals. Averaging 31 deals per month is not too shabby, but compared with the red-hot M&A market of 2019, when 450 deals were publicly announced and likely over 600 were actually completed, it is a significant decline. Not surprisingly, the COVID-19 pandemic had a large part to play in the slowdown, but not as much as you may think in the first quarter. After all, large swaths of the U.S. economy were not shut down until mid-March, and deals that closed after that were all-but-completed by the time businesses shut their doors. They just needed a little nudge... Read More »
Cushman & Wakefield Closes Southern California Sale

Cushman & Wakefield Closes Southern California Sale

Dave Rothschild and Mary Christian of Cushman & Wakefield recently closed on the sale of three senior living communities in southern California. The communities were owned by Diversified Healthcare Trust (NYSE: DHC) and were operated by Five Star Senior Living. They total 322 independent living units, 198 assisted living units, 45 memory care beds and 54 skilled beds. When the portfolio went to market last year, overall occupancy was 78%, but we don’t know how it has performed since then. They are all located within 80 miles of each other, so it makes for a nice cluster. The largest community, with 386 units/beds, was built in 1975, and the two others in 1986 and 1988.   Diversified... Read More »
MonticelloAM Funds SNF Portfolio Acquisition

MonticelloAM Funds SNF Portfolio Acquisition

The team at MonticelloAM arranged acquisition financing for an experienced owner/operator’s purchase of six skilled nursing facilities across the state of Arkansas. Built in the 1980s and 1990s, the portfolio consists of 868 total beds. Occupancy averaged between 83% and 84% under the management of an affiliate of Capital Health Group. Private REIT CNL Healthcare Properties was the seller, hiring Newmark Knight Frank to run the sales process. The deal closed in early March.  The purchase price came to $55 million, or $63,400 per bed, and was financed by $50 million in first lien debt, with a 36-month term, provided by MonticelloAM. Included in the transaction was a $2 million working... Read More »
Are Nursing Home Residents Really “Sitting Ducks”?

Getting Personal With COVID-19

When COVID-19 hits close to home. So, here we are in week three of shelter in place. Actually, week four for me. Two weeks ago, I was about the only one wearing a mask in one of my two trips to the grocery store. Now most everyone is, which makes sense. On one of the trips, I was actually told by someone that I was not supposed to be wearing one because I was asymptomatic. My how things have changed. I live in a small town of 20,000, and we have had 82 confirmed cases of COVID-19 and 10 deaths. That’s a 12% death rate, and it has been at that rate for the past week and a half, with about one death a day. I assume that 12% rate will come down as more tests are given, but it does seem out of... Read More »