• 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 »
Navigating Today’s Lending and M&A Markets: A Q&A with Meridian Capital Group

Navigating Today’s Lending and M&A Markets: A Q&A with Meridian Capital Group

Seniors housing and care M&A has slowed down considerably, which will not surprise anyone, and an abundance of caution on the buyers’ part has had a lot to do with that. But perhaps more so has been the reaction of the lenders, many of whom have taken a wait-and-see approach before lending millions to support acquisitions, new developments and even refinances.   However, deals are still getting done, with even a mini M&A boom at the end of March into early April, so a number of lenders had to have signed off on those deals fully aware of the economic and practical realities of the current crisis. So how have these lenders adapted to the current environment?... Read More »
Sabra Health Care REIT Exits Montana SNF Market

Sabra Health Care REIT Exits Montana SNF Market

Sabra Health Care REIT announced the divestment of two skilled nursing facilities in Montana, finalizing its complete exit from the state. The two facilities, located in Great Falls (278 beds) and Deer Lodge (60 beds), were operated and leased by Genesis HealthCare, the only two for the large provider in the state.    As a result of the sale, the total annual rental obligation from Genesis decreased by about $1.1 million. According the Sabra’s press release, the purchase price came to $14.4 million, or $42,600 per bed, which included the assumption of $14.2 million in HUD debt encumbering the facilities. The team of Christopher Hyldahl, Gideon Orion, Michael Segal and Ben Firestone from... Read More »
BMO Harris Bank Refinances Two Pennsylvania SNFs

BMO Harris Bank Refinances Two Pennsylvania SNFs

BMO Harris Bank’s Healthcare Real Estate Finance group announced the refinance of two senior living communities located near Harrisburg, Pennsylvania. The borrower, Juniper Communities, had acquired the properties in 2012 from a local group for $18.575 million, or just over $100,000 per unit, at an 8.0% cap rate.   The Lebanon community was built in 1996 with an addition in 2002 and features 40 independent living and 83 personal care (assisted living) units. Built in 2000, the Mt. Joy community has 63 personal care units. Across both properties, there are also around 30 private patio homes that are managed but not owned by Juniper. To refinance the mortgages, Juniper obtained a $12.3... Read More »
Ziegler Closes Integrace Bond Financing

Ziegler Closes Integrace Bond Financing

Ziegler secured a revenue bond series for its client, Integrace, Inc., an affiliate of Acts Retirement-Life Communities as of April 1, 2019, to restructure and refinance its debt, which was held with multiple banks and other investors, and to take advantage of low borrowing costs at the time. So, with the help of Ziegler, Integrace issued $99.3 million in bonds, consisting of a tax-exempt series that were priced to yield 2.84% and a taxable series priced to yield 3.3%. The taxable bonds were structured with a 15-year commitment from a large institutional investor, while the tax-exempt bonds came with a seven-year commitment. Neither series had a debt service reserve fund and were not... Read More »
REITs Start To Cut Dividends

REITs Start To Cut Dividends

The healthcare Real Estate Investment Trusts have been the hardest hit in our sector during the recent stock market plunge. Many are worried about their own liquidity and drew down on their credit facilities, even if they didn’t need the funds now. Some just went and raised new debt to bolster their liquidity. They are obviously worried about their tenants’ future financial performance, and they know that wages, utilities and food bills have to be paid before rent. One REIT, Ventas (NYSE: VTR), has already offered to defer 25% of April’s rent until October. They had the largest credit facility drawdown of $2.7 billion. May is just a month away, and the environment will surely be... Read More »
Evans Senior Investments Closes Two Seattle-Area SNF Sales

Evans Senior Investments Closes Two Seattle-Area SNF Sales

Selling a SNF in Washington State (let alone near Seattle) these days seems like a fruitless task, yet Evans Senior Investments sold two of them (yes, two) in early April. First, in Seattle itself, an East Coast capital group formed a joint venture with a Los Angeles-based operator to acquire a 165-bed facility for $10.5 million, or $64,000 per bed. To add to the deal’s complexity, the facility was placed into receivership in June 2019 after the local not-for-profit owner defaulted on their existing HUD loan.   At the time of the sale, the facility, which was built in 1974, was 77% occupied and was losing over $500,000 in annual NOI. An abundance of contracted staff at the facility... Read More »
Blueprint’s April Activity Continues

Blueprint’s April Activity Continues

Continuing Blueprint Healthcare Real Estate Advisors’ busy deal activity in the last week, which included three skilled nursing closings on April 1st, the team of Amy Sitzman, Dan Mahoney and Blake Bozett sold a 36-unit assisted living community in Kennewick, Washington, in the eastern part of the state. Built in 1995 and featuring all private rooms, the private pay community recently struggled with occupancy because of key leadership turnover.   The seller did work to increase census to over 90% throughout the transaction process, which created some good faith between parties that almost surely allowed for a smooth closing in the middle of the COVID-19... Read More »
Recent Senior Care M&A Deals, Week Ending April 3, 2020

Recent Senior Care M&A Deals, Week Ending April 3, 2020

Yes, deals are still getting done during these times. Check out our recent senior care M&A transactions! Long-Term Care AcquirerTargetPrice Regional owner/operatorMurray Highland Memory Care$5.2 million Not disclosedWelbrook ArlingtonN/A East Coast capital group/Los Angeles-based operatorof Washington Care Services$10.5 million East Coast capital group/Los Angeles-based operatorHeartwood Extended Healthcare$8 million Regional owner/operatorHallmark House Nursing Center$1.5... Read More »
April Rules for Blueprint Healthcare Real Estate Advisors

April Rules for Blueprint Healthcare Real Estate Advisors

Shout out to Blueprint Healthcare Real Estate Advisors, which closed four deals this week. The deals were likely all but closed in the last month, but buyers and lenders have every reason to hit the pause button. So, to get a deal across the finish line is a feat.   We’ll start with the skilled nursing deals. The team of Christopher Hyldahl, Gideon Orion, Michael Segal and Ben Firestone first sold a 150-bed skilled nursing facility in Kerrville, a central Texas town. It was built in 2006 and enrolled in the Texas Quality Incentive Payment Program (QIPP). Occupancy was in the low-50% range, but cash flow (before the QIPP revenue) was near-stable and trending upwards.   After... Read More »
Senwell Facilitates Two SNF Bed License Sales

Senwell Facilitates Two SNF Bed License Sales

Ben Bohland of Senwell Senior Investment Advisors arranged a couple of skilled nursing bed license sales in the second half of Q1. First in Hamilton County, Ohio, Mr. Bohland sourced beds from two sellers in the area for one of the country’s largest SNF operators that was looking to increase capacity at one of its facilities in the region. The sellers were both downsizing their bed counts, one to repurpose a wing and the other to address low occupancy.   Then in Franklin County, Ohio, Mr. Bohland represented a national seniors housing and care operator in its sale of a number of skilled nursing bed licenses due to a planned repurposing of its building. A regional... Read More »
SLIB Succeeds With Two Recent Closings

SLIB Succeeds With Two Recent Closings

Senior Living Investment Brokerage announced two closings this week, one seniors housing and one skilled nursing. Starting with the SNF, Ryan Saul represented a private California-based owner in the sale of their 71-bed facility in Pekin, Illinois. A regional owner/operator with other facilities in Illinois paid $1.5 million or $21,100 per bed, for the property.  Originally built in 1964, the facility was just 62% occupied at the time of the sale but boasted a 57% quality mix, including a 52% private pay census. Cash flow was negative at the time of the sale on nearly $4.24 million of revenues. The seller had inherited the day-to-day management of the facility from her late... Read More »