• 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 »
Aztec Group Refinances Florida Memory Care Communities

Aztec Group Refinances Florida Memory Care Communities

We don’t hear much in the seniors housing and care business from Florida-based investment and merchant bankers Aztec Group, Inc., but the firm recently refinanced two memory care communities in Tampa and Oviedo, Florida. Each community, under the Memory Lane Cottages brand, comes with 20 private suites, with bathrooms in all, and stable operations. They are owned by a joint venture between Mayan Properties, which is affiliated with Aztec’s CEO Ezra Katz, Facility Investments, LLC, and National Healthcare Associates, Inc., a healthcare consulting firm based and operating out of the Northeast. The refinance totaled $5.1 million, with about $3 million going towards the Oviedo property and the... Read More »
After Assuming Operations, American House Acquires Too

After Assuming Operations, American House Acquires Too

Michigan-based real estate developer REDICO, through its senior living affiliate American House, acquired its first 100% independent living community in the state of Florida when it purchased a 173-unit community in Wildwood. American House had assumed management of the property in March 2017, and has added personal care services through Allegiance Home Care Services, Inc. Unit sizes range from 500-square foot studios to 1,090-SF two-bedroom suites, and amenities include an outdoor heated exercise pool/spa, putting green, shuffleboard court, card/billiard rooms and a full-service bar and restaurant, among others. The acquisition brings American House’s presence in The Sunshine State to six... Read More »
Financial Modeling for Seniors Housing Acquisitions Has Changed

Financial Modeling for Seniors Housing Acquisitions Has Changed

Financial modeling for seniors housing and care is not as easy as it used to be, when revenues could be assumed to rise faster than expenses. Have you noticed that financial modeling for seniors housing and care is not as easy as it used to be? In the past, forecasters (and buyers) would model 2% increases in annual costs and 3% increases in revenues. This would build in a growing profit amount, which always looked good to lenders and investors. One of the problems with this was that annual capital expenditures were always, and I mean always, low-balled. Often it was a plug number at $300 per unit or bed, when it should have been three, four or five times that amount. The problem today is... Read More »

Capital One Provides Financing To PruittHealth

Since the start of July, Capital One has closed a flurry of deals for seniors housing and care borrowers, and has crisscrossed the country doing so. The bank has so far provided a $27.2 million HUD refinance for three skilled nursing facilities in Tennessee, a $12 million HUD loan for a Portland, Oregon-area SNF, $77.7 million in financing for a portfolio of nine Pacifica Companies-owned seniors housing communities, and a $41.1 million first mortgage, plus a $5 million senior credit facility, on behalf of Oregon-based Prestige Care to both acquire four senior care properties and refinance three others in the Pacific Northwest. The activity continued for Capital One, when it recently helped... Read More »

HJ Sims Secures Financing For D.C. CCRC

A CCRC in northwest Washington, D.C. is ready to expand, and in a big way. Currently featuring 127 independent living units, seven assisted living units and 60 skilled nursing beds, not-for-profit Ingleside at Rock Creek faced a growing wait list and limited health care services. So, a couple of years ago, ownership decided it was time to grow, with a plan to add 105 IL units, 32 memory care units, 34 skilled nursing suites, 21 assisted living units and therapy/rehab spaces. Expected to break ground soon, the project will nearly double the CCRC’s units, even though most of the existing AL units will be taken offline to complete it. HJ Sims arranged the construction financing, through a mix... Read More »
Luxury Senior Living In Salt Lake City

Luxury Senior Living In Salt Lake City

A luxury assisted living/memory care community recently opened in Salt Lake City, Utah, and hopes to stand out among its competitors for not only its care, but its look too. Interior designer, studioSIX5, and architect AJC Architects designed the 148-unit community with an eye for its surrounding environment in view of the Wasatch Range, with many resident rooms designed to highlight the natural beauty. The community cost approximately $35 million, or $236,500 per unit, to develop, which is nearly equal to the average construction cost for the region of $233,700 per unit. We have not observed much seniors housing construction in the Salt Lake City MSA, at least on a relative basis, but... Read More »
HC-One Becomes Largest Provider in UK

HC-One Becomes Largest Provider in UK

It has been a few months since it was announced that Justin Hutchens would leave HCP, Inc. and join UK-based HC-One as its new CEO. That transition is expected to take place on October 1, and he will certainly have his hands full when he takes over from Chai Patel. HC-One just announced an agreement to acquire 122 senior care properties from Bupa Care Services, also based in the UK, for approximately £300 million, or $384 million. Over the past few months, the deal value was rumored to be in the £300 million to £450 million range, but that was for 150 properties, not the 122 that was agreed upon. Before this acquisition, HC-One was already the third-largest senior care provider in the UK,... Read More »

SunTrust Bank Funds Large CCRC Expansion

As the construction boom continues across seniors housing, existing communities often have to renovate, expand or convert in order to survive. A 20-year old CCRC in Richmond, Virginia is doing just that, with a massive expansion project planned to add and improve the services it offers. Owned and operated by not-for-profit Pinnacle Living, formerly Virginia United Methodist Homes, the 90-acre campus will receive a new fitness and wellness center (complete with a swimming pool), two enclosed corridors that connect independent living to the new center, a new two-story health care center with 20 private rooms on each floor and common areas, a new parking deck, and potentially a number of new... Read More »

Trying Out Transitional Care

Joint venture partners Harrison Street Real Estate Capital and Pisula Development Company (the development arm of RRC Medical Real Estate LLC) are venturing into the transitional care/skilled nursing space with the acquisition of a brand-new facility in Conroe, Texas. Featuring 150 beds in two stories, the transitional care facility was developed in late 2016 by the seller, an in-state developer relatively new to senior care, on about three acres adjacent to the 342-bed Conroe Regional Hospital Campus. We have historically known Harrison Street as a seniors housing investor, and Pisula Development has mostly focused on medical office buildings. But they have partnered with OnPointe Health,... Read More »
Financial Modeling for Seniors Housing Acquisitions Has Changed

Seniors Housing And Affordability

New development is widely blamed for occupancy declines, but affordability may be just as culpable. Declining occupancy in seniors housing has been a major issue for the past 18 months or so, and while it took some providers way too long to admit that new development was taking its toll on census, there may be other things at work. One big one is affordability. While analysts celebrate that rents have gone up 3% despite census declines, remember that the numbers are based on asking rents. Just possibly, however, those rising asking rents are scaring some people away. I have not seen any statistical analysis on this, but I think the seniors housing sector really has to take a hard look at... Read More »