

Recent Senior Care M&A Deals, Week Ending November 30, 2018
Check out our recent senior care M&A deals! Long-Term Care AcquirerTargetPrice Threestones CapitalSkilled nursing facilityN/A Not disclosed3 skilled nursing facilities$18.7... Read More »
Genesis Healthcare Surges
Wow. It is amazing what a short analyst report can do to a stock, when it upgrades the recommendation to “Buy” with a price target that is 50% above the current price. That is what happened to Genesis Healthcare yesterday, after Chad Vanacore of Stifel wrote about the company and the improved outlook for skilled nursing in general. The previous closing price was $1.31 per share, and it surged by 26% to $1.65 in early trading on heavier than usual volume. Why? Signs of stabilization in the company’s core portfolio, improved reimbursement outlook for 2019 and beyond, a de-levering of the balance sheet and the divestiture of 55 facilities with unprofitable leases. That doesn’t mean it is... Read More »
What 10 Years Can Do
With everyone so fixated on the future (the upcoming flu season, the 2026 Boomer Boom, etc…), and rightfully so, we also think it’s important to peak back in the past to gain some perspective. A #flashbackfriday, if you will. November 2008 doesn’t conjure many fond memories for most industries, but particularly for the capital markets. By that month, the Dow Jones Industrial Average dropped below 8,000 (on its way to 6,443 in March 2009). Liquidity had dried up, and investors, more often than not, were looking to sell, not buy (even if some of those buys would have paid off many times over in hindsight). And when those selling shareholders had a target in mind, they went for blood, selling... Read More »
Greystone Centers In On New York Refinances
Working on behalf of skilled nursing operator Centers Health Care, Fred Levine of Greystone arranged over $100 million in HUD financing to refinance a couple of their New York SNFs. Located on opposite sides of the state, these facilities were each acquired a few years ago from not-for-profit owners. Built in 1974, the 475-bed facility in the Bronx was formerly owned by the Daughters of Jacob Nursing Home Company. After operating the facility since 2013 and significantly improving performance, Centers acquired it in 2016. Now that the facility is fully stabilized with a 96% occupancy rate, Greystone provided a $71.78 million loan, or $151,000 per bed, with a 35-year term, to both refinance... Read More »
Erie County Assisted Living Sells
Jim Baranello of The Prestige Group took his talents to Erie County, Pennsylvania where he sold a 37-bed assisted living/personal care community. The transaction included an adjacent parcel for an expansion/renovation project. All in, the property sold for a 16% cap rate. Read More »
The Gold Standard A Bit Tarnished
A scathing article from The Washington Post discloses quality problems at HCR ManorCare before its sale to Welltower and ProMedica Health System. For those of you who missed the Thanksgiving weekend article from the Washington Post about poor care at HCR ManorCare’s nursing facilities in Pennsylvania, well, why ruin a great weekend? All kidding aside, it did not portray HCR ManorCare in a very good light, citing numerous cases of poor care and lack of staffing. But I am not sure if they were attacking HCR ManorCare itself, or The Carlyle Group, which owned the company at the time and did the $6 billion sale/leaseback which financially strangled them. Granted, most of the events cited in... Read More »
HFF Funds Independent Living Acquisition
Less than a year after opening its luxury independent living community in Colorado Springs, Colorado, The Wolff Company turned to Nicole Brickhouse and Leon McBroom of HFF to refinance its existing construction debt with a $31 million floating-rate bridge loan. This 160-unit community, operated by Clearwater Living, is part of Wolff’s major investment in the industry, which reportedly will top $300 million annually to develop new high-end communities mainly in the western United States. Read More »
Skilled Nursing Prices Hold Steady
Despite numerous headwinds, an aging supply and decreasing national census, skilled nursing facility prices stayed remarkably steady in the past four quarters. In the 12 months ended September 30, 2018, we recorded an average price of $81,900 per bed for skilled nursing sales, up 4% from the previous four-quarter period and up 0.7% from calendar year 2017. We saw more of a change in the average cap rate, which dipped below 12% (a pretty rare occurrence) to 11.9%, which is down from 12.55% in the 12 months ending June 30, 2018 and from 12.3% in 2017. The average price is still about 20% off from the sector’s record-high average price of about $100,000 per bed in 2016, which begs the... Read More »
Recent Senior Care M&A Deals, Week Ending November 23, 2018
Check out our recent senior care M&A deals! Long-Term Care AcquirerTargetPrice Crown Healthcare GroupVilla Springfield$6.3 million Care Partners Management GroupMaplewood Gardens$10.75 million Target Healthcare REIT LimitedParris Lawn$17.63... Read More »