


Despite Declining Operations, Minnesota Skilled Nursing Facility Sells
It looks like Ray Giannini (of Marcus & Millichap) isn’t taking a vacation this summer, as he just closed the sales of a skilled nursing facility in Minnesota and a senior living community in Iowa. The Caledonia, Minnesota facility has a long history serving the health care needs of the area. Originally opened in the early 1900s as a hospital, the building expanded in 1962 and 1976, and now features 50 skilled beds, as well as a 16-unit assisted living community (added in 1987). Plus, the SNF was extensively renovated in 2012 at a cost of $1.4 million. Services there include physical, occupational and speech therapy programs, along with respite and hospice care. However, while the AL... Read More »
Continuum of Care Sells in Washington, D.C.
Healthcare Transactions Group managed to sell not only the operations of a 230-bed skilled nursing facility in Washington, D.C., but also a home health agency and a nursing school too. Annual revenues for the combined business totaled about $25 million, and census at the SNF was nearly full, at 98%. Also based in D.C., the home health agency is licensed for both Medicare and Medicaid patients, and the nursing school primarily trains CNAs and home health aides. That must help with staffing, which in turn may help in maintaining that 98% occupancy. The buyer, a Brooklyn, New York-based regional operator with several other skilled nursing facilities in Washington, D.C., did not purchase the... Read More »
CBRE Rocks Plymouth, Michigan Deal
After opening in 2017, and already filling up, a senior living community in Plymouth, Michigan (Detroit MSA) refinanced its construction debt with the help of Aron Will of CBRE. Developed by a joint venture between Boston-based private equity firm Blue Moon Capital Partners and Troy, Michigan-based operator Cedarbrook Senior Living, the community features 98 independent living, 43 assisted living and 41 memory care units, in addition to 19 IL cottages. It was developed at an approximate cost of $45 million, or around $225,000 per unit, which is slightly above the regional average for senior living communities of $215,000 per unit, according to our in-house database of developments dating... Read More »
Monticello’s Kentucky Closings
To fund its acquisition of two skilled nursing facilities in Kentucky, an investor turned to Monticello Asset Management to arrange financing. Two of Monticello’s investment vehicles originated $8.375 million in first lien debt financing and a $1.5 million working capital loan on behalf of the buyer, Healthcare Management KY, LLC. The two facilities total 139 skilled nursing beds (147 licensed beds) and eight personal care beds, and average over 20-years old. One of them was renovated in 2014, receiving a brand-new 2,500-square foot rehab gym. The new owner, whose principals have over 10 years of combined experience in the health care industry, expects to eventually refinance with... Read More »
Skilled Nursing Staffing Woes
Another front page New York Times story highlighting problems with skilled nursing facilities. I am sure many of you saw the recent New York Times article about understaffing in the nation’s nursing facilities, particularly on the weekends. The new methodology used, based on actual payrolls obtained by Medicare, indicates that staffing is 12% lower than using the previous methodology, which was based on self-reporting. The article used one small nursing facility in New York as an example of weekend staff shortages. Anecdotally, my next-door neighbor’s mother was in a local assisted living community operated by a prominent national chain, and she always complained about the “Sunday dump... Read More »
To Be Public Or Not
There are a lot of people who do not believe seniors housing and care companies should be publicly traded. It is not appropriate to try to manage quarterly revenues and profits when you are taking care of older, frail residents. And don’t forget the earnings disruptions that can be caused by new developments and the ongoing depreciation expense if you own your real estate. It is just difficult to please investors and analysts with all the variables, including external ones that you have no control over, or so the argument goes. And then there is the roller coaster of daily stock prices. Take Genesis Healthcare, as an example. This past Monday, its price plunged by as much as 19% on trading... Read More »
Evans Senior Investments’ Tar Heel State Transaction
A publicly-traded REIT divested a non-core skilled nursing facility in North Carolina. They were represented by Evans Senior Investments, which brought in a growing regional owner/operator as the buyer. Located in a tertiary market outside of Charlotte (in the town of Gastonia), the facility was operated by a national operator but averaged just 70% occupancy at the time of the sale. This offered an opportunity for the new owner to reposition the facility in the local market and improve census (and add value, of course). Paying $7.0 million, or about $59,000 per bed, the buyer expanded its presence in North Carolina. Now, the work begins. Read More »
New Jersey Owner Charges Ahead in Petersburg, Virginia
A senior living operator is growing its portfolio outside of the Garden State for the first time, in a deal facilitated by Andrew Hilding, Josh Jandris and Mark Myers of IPA Seniors Housing. The target is located in Petersburg, Virginia, and features a 39-unit assisted living community and a 32-unit memory care community on the same campus, with 102 total licensed beds. It was previously owned by a large operator that primarily serves the Midwest and mid-Atlantic regions. This is the buyer’s first community outside of New Jersey, which will look to enhance operations and make necessary improvements at the property. Read More »
Second Quarter M&A Soars Above 100 Deals
Boosted by an especially strong April, senior care M&A in the second quarter skyrocketed above 100 transactions for just the second time ever, according to DealSearchOnline. The industry seemed to be in a deal slump over the past year and a half, never surpassing 81 deals in a quarter and falling way off the pace set in 2015 when we recorded 99 deals in Q3:15 and 108 deals in Q4:15, the all-time record. However, this April set the tone for the quarter with 47 deals announced. Activity petered out a bit as the quarter wore on (35 deals in May and just 22 in June), but that could be the effects of the summer lull. Either that, or everyone was deal-ed out by Memorial Day. In the end, we... Read More »