Cash Flow Drives Record Skilled Nursing Prices
We have written several times in recent years that reports of the “death of the skilled nursing facility” have been greatly exaggerated. That is clearly evident in the record-high prices we have recorded in the sector, soaring to an average of $99,200 per bed in 2016 (up from the previous record of $85,900 per bed in 2015) and to a median of $94,660 per unit (from $66,500 per bed in 2015), according to the Senior Care Acquisition Report. But this pricing peak contradicts a normally reliable indicator of the market’s health. As we have always stated, it is the absolute level of net operating income (NOI, and interchangeable with EBITDA) that drives value in the market. From 2011 through... Read More »
Brookdale and HCR ManorCare May Deal
Brookdale Senior Living is rumored to be in exclusive talks with a Chinese investor, and Carlyle Group may finally get out of its HCR ManorCare position. A new rumor was out yesterday that China-based Zhonghong Zhuoye Group was in exclusive negotiations with Brookdale Senior Living after making an offer to buy the company for $3.0 billion, apparently higher than other offers. The problem is that the current market cap is just $2.8 billion, so not much of a premium being offered. Apparently, Brookdale wants to be convinced that the U.S. Committee on Foreign Investment in the U.S. would approve the deal as non-threatening to national security. Really? State secrets on maintaining census and... Read More »
Mid-Atlantic Health Care Makes An Exit
Mid-Atlantic Health Care is exiting the skilled nursing market with the sale of its eight remaining facilities in Pennsylvania. The company was still growing its portfolio (which at one point numbered over 20 facilities) as recently as December 2015, so this move, and its sale of 14 skilled nursing facilities late last year, marks a precipitous divestment. Back to the June 2017 deal, while the real estate will continue to be owned and leased by Colony NorthStar (the REIT product of the merger between Colony Capital and NorthStar Asset Management Group), Mid-Atlantic sold the operations to Lakewood, New Jersey-based Mima Healthcare. Five of the facilities are located in Philadelphia (three... Read More »
Trilogy Health Services Makes It 11 In Michigan
Trilogy Health Services, better known on the development side of the skilled nursing sector, recently bought a facility in Grand Rapids, Michigan, making it the 11th facility in Trilogy’s Michigan portfolio, and 108th property overall. The facility was built in 1976 and features 60 beds. There is also an adjacent independent living/assisted living community that was not included in the sale. Trilogy has been growing at an incredibly fast pace. In the last year, the operator has opened six healthcare campuses in Indiana, two in Ohio, two in Michigan and one in Kentucky. We have to imagine these developments, particularly the new skilled nursing beds, stand out among the existing supply in... Read More »Gross Income Multiple Falls For Seniors Housing Deals
A popular multiple that investors use to measure the value of a seniors housing and care property is the Gross Income Multiple (GIM). So, as prices have stayed consistently near record-highs for seniors housing (independent living and assisted living) properties, how much were buyers paying with respect to the properties’ revenues? In 2016, according to the 22nd Edition of The Senior Care Acquisition Report, the average GIM fell 15 basis points to 3.75x from the 3.9x recorded in both 2014 and 2015, widely considered the height of the seniors housing bull market. The median fell by a larger degree (30 basis points) and to a level not seen since 2011, when it was also 3.2x. Understandably,... Read More »Recent Senior Care M&A Deals, Week Ending June 9, 2017
Check out our recent senior care M&A transactions! Long-Term Care AcquirerTargetPrice Granite Investment GroupTabor Crest Memory CareN/A CareTrust REIT, Inc.The Rio at Cabezon & The Rio at Fox Hollow$27.3 million National Health Investors, Inc.Assisted Living Community$10.4 million Hernandez Family VenturesPointe North Gables$7.8... Read More »
Public Companies Spring Into Action This June
Public companies have made a statement so far in June, with a couple of REITs, one publicly traded operator and two foreign firms announcing acquisitions this week. First, across our border, Ontario-based Sienna Senior Living added one more Ontario retirement community to its portfolio. The 70-unit community in the town of Kingston sold for approximately $7.27 million, or $103,860 per unit. Then, across the Atlantic, Paris-based senior care operator Korian added about 1,000 beds, and eight long-term care/assisted living facilities, to its Belgium portfolio, which now numbers over 9,500 units. The Senior Assist group sold the facilities, five of which opened in the last 18 months. Now to... Read More »
The Future of Medicaid Block Grants
Our editor Steve Monroe moderated a webinar on June 8 called “Skilled Nursing Reimbursement Under Trump Care” with panelists Joshua Jandris of IPA Seniors Housing and Marc Zimmet of Zimmet Healthcare Services Group, where they discussed Medicare reimbursement changes, the future of Medicaid managed care plans and the next shoe to drop on the reimbursement front under a Trump administration. If you are interested in hearing the 90-minute discussion, you can purchase the webinar here. During the webinar, Mr. Monroe brought in the audience to voice their opinion too, and here are the results: Do you think Medicare SNF payments should basically fund the shortfall of Medicaid payments, such as... Read More »
BMO Harris Funds PGIM Real Estate Deal
PGIM Real Estate and Kisco Senior Living announced their acquisition of a 187-unit independent/assisted living community in Walnut Creek, California at the start of June, and BMO Harris Healthcare Real Estate Finance followed that up by announcing they financed the deal with a $61.75 million credit facility. The group acted as the administrative agent and lead lender on the facility which consisted of a $50.05 million term loan and a $11.7 million construction loan for a planned 40-unit expansion of the community’s assisted living and memory care services on the adjoining 1.22 acres. Located on a 7.3-acre campus about 20 miles east of San Francisco, the property was built in 1991 and had... Read More »
Blueprint In Buchanan, Georgia
Trent Gherardini of Blueprint Healthcare Real Estate Advisors assisted a long-time owner of a skilled nursing facility in Buchanan, Georgia in the sale of the asset for $2.7 million. The facility was originally built as a hospital in the 1960s, until the seller converted it to a 60-bed SNF in the mid-1980s. It reportedly had a good reputation in the area, attractive quality mix and strong history of cash flow, but its age, 80% occupancy and location in rural west Georgia probably kept the price down to about $45,000 per bed, or less than half of the national average for SNFs sales in 2016 ($99,200 per bed). The owner and its operator decided to sell in advance of the lease expiration... Read More »Schedule a demo
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