• Berkadia Announces Array of Closings

    Berkadia is riding a transaction hot streak, closing 19 property sales in the last 45 days. The activity included a portfolio featuring five assisted living/memory care communities across Utah, Wisconsin and Minnesota sold to Jaybird Capital, an affiliate of Jaybird Senior Living, through HUD assumptions. Jaybird assumed management of the... Read More »
  • Tremper Capital Group Closes Several Financings

    Tremper Capital Group showed off its variety with a series of financings closed for clients across the country. They included a construction loan, an acquisition loan, a bank refinance and a portfolio financing. First, the team closed non-recourse construction financing for an assisted living/memory care community in the Dallas-Fort Worth area.... Read More »
  • Upstate New York SNF Trades Between Not-for-Profits

    Joe Knapp of the Knapp-Stahler Group at Marcus & Millichap handled the sale of a skilled nursing facility in upstate New York. The Center For Nursing And Rehab in Hoosick Falls, New York, comprises 82 beds in a single-story building that sits on four acres. It was built in 1954, but renovated in 1979 and 1995.  Apparently, the facility... Read More »
  • Acquisition Financing Closed for Distressed California Community

    Private debt fund and direct commercial real estate lender Wilshire Finance Partners closed an $8.15 million first lien bridge loan for the acquisition and repositioning of a distressed seniors housing community in California. The financing included reserves specifically allocated for capital improvements and operational support during the... Read More »
  • Developer and Operator Secure Construction Financing

    Another new development will soon be underway, with BLDG Real Estate and The Fellowship Family securing financing for a $100 million full-continuum community, Fellowship Wildlight. BLDG Real Estate is a real estate development firm that specializes in design, development and asset execution across multiple product types. The Fellowship Family is... Read More »
Skilled Nursing Reimbursement Under Trump Care

Skilled Nursing Reimbursement Under Trump Care

Record prices per bed for skilled nursing facilities don’t seem to make sense given the reimbursement changes looming. The skilled nursing acquisition market has been booming for the past few years, with back-to-back-to back record average prices per bed. But with all the uncertainty surrounding the future of Medicare reimbursement, not to mention Medicaid and the potential for block grants, it does seem odd that there is still so much interest in the skilled nursing market. Reimbursement, however, isn’t the only story, and there are many providers, despite the reimbursement uncertainty, who can take over a facility and still increase revenues, increase reimbursement rates and... Read More »
Birchwood Moves Into Forest Park

Birchwood Moves Into Forest Park

Equipped with a new roof and a new upgraded license, a 50-unit assisted living community in Forest Park, Georgia sold to Birchwood Healthcare Properties for $4 million, or $80,000 per unit. Originally built in 2000, the community was owned by a local doctor, who has decided to exit the business after retirement from his medical practice. The community was just 75% occupied, and it brought in under $50,000 in EBITDA on approximately $1.7 million of revenues, for an operating margin of just 3%. So, operations could obviously improve. The community has received significant capital upgrades to its exterior over the past five years, including a new roof, and has also upgraded to a new assisted... Read More »

Greystone Refinances Queens Skilled Nursing Facility

A couple of years after Greystone financed the acquisition of a 302-bed skilled nursing facility in Queens, New York, the lender came full circle in refinancing it with a $59.8 million, or a whopping $198,000 per bed, HUD loan. Fred Levine of Greystone originated both the original bridge loan and the permanent financing on behalf of the borrower, Kennedy Management, a healthcare company owned and operated by the Fuchs family. Since the 2015 acquisition, the owners renovated and rebranded the facility, which now boasts many luxury features such as a dedicated concierge, resident lounges, bedside iPads and valet parking. The facility also offers a 40-bed ventilator unit and a 12-chair... Read More »

Cash Flow Is King

Many buyers prize a community’s cash flow over other factors. If a community is already making money, and avoids any major missteps, it is probably a safe bet for investors. Neither 2015 nor 2016 reached the record average NOI per unit set in 2014 of $14,200 per unit, but in a year when the average price per unit for seniors housing (including both independent and assisted living) increased, it makes sense that NOI per unit would increase in turn, by $500 per unit from 2015 (11,700 per unit) to 2016 ($12,200 per unit). Separating it out by sector, one would think that if independent living prices rose by $35,300 per unit, or 18%, one would see a corresponding increase in the NOI per unit... Read More »

Recent Senior Care M&A Deals, Week Ending June 2, 2017

Check out our recent senior care M&A transactions! Long-Term Care AcquirerTargetPrice Omega Healthcare Investors, Inc.18 care homes$113 million Oppidan Investment Co.Highlands on Graham & River RoadN/A Capri Senior CommunitiesHeritage Place of Brookfield$11.2 million Agnesian HealthcareChristian Home and Rehab CenterN/A Joint ventureByron... Read More »
REITs Remained Active In May

REITs Remained Active In May

A couple of REITs announced transactions at the end of May: a small one in North Dakota and one large deal abroad. First, North Dakota-based Edgewood Real Estate Investment Trust announced it plans to acquire a financially distressed senior living community in the town of Dickinson (western North Dakota). The seller was First International Bank and Trust, which foreclosed on the community in 2015. Dickinson State University owns the land the community sits on, and will continue to do so. Edgewood will lease the community to its operating subsidiary, Edgewood Healthcare, upon closing. Then across the pond, Omega Healthcare Investors vastly increased its holdings in the United Kingdom,... Read More »

The REIT Price for Seniors Housing

Last week, we looked at the price REITs paid on average for skilled nursing facilities in 2016, according to the 22nd Edition of The Senior Care Acquisition Report, compared with other buyers in the industry. But what about in seniors housing? REITs have been far more active buyers in the space, with many of the private REITs getting involved in a sector with less stroke-of-the-pen risk (in fact, they bought five seniors housing properties to every one skilled nursing facility in 2016). Also, most of the revenue collected by assisted living or independent living communities comes from private payers, and REITs tend not to purchase those assisted living communities with significant, if any,... Read More »
Birchwood Moves Into Forest Park

Fannie Mae Origination in Oregon

Almost five years after taking over the operations of a 92-unit senior living community in the town of The Dalles in northern Oregon, family-owned The Springs Living has become its sole owner, thanks to a $17.5 million Fannie Mae refinance arranged by Capital One’s Dague Retzlaff and Mark Bultman. Harrison Street Real Estate Capital bought the community as part of a four-property, 419-unit portfolio in November 2012 for a total of $65 million, or $155,130 per unit, and brought in The Springs to operate. At the time, the portfolio was 89% occupied and operated at a 26% margin on $15.65 million of revenues. We believe Harrison Street has since added value to the property, as it typically... Read More »

Pennsylvania CCRC Refinances 2008 Bonds With Help From HJ Sims

A large CCRC in Lititz, Pennsylvania (Lancaster area) that expanded in 2008 (tough time to do that…) recently refinanced $123 million of Series 2008 bonds, as well as $10 million of Series 2015 bonds, with the help of HJ Sims. Tracing its roots to 1897, the community now features 505 independent living units, 141 assisted living/personal care units, 120 skilled nursing beds and a 20-bed rehab center. In 2008 it expanded its IL offering and also reconfigured its healthcare services, which was funded by $123 million of bonds. Then in 2015, the CCRC opened its rehab center, in addition to upgrading its buildings and technology, with $10 million of bonds funding the project. The call date for... Read More »
Skilled Nursing Reimbursement Under Trump Care

New Senior Living Investment Fund

A new investment fund called Senior Living Fund is in the market and funding new developments with enticing promotional returns to investors. There is a new investment fund on the street, called Senior Living Fund, which is mostly investing in to-be-built private pay senior living communities. In their Senior Living Fund IV – USA, investments can range from as small as $50,000 with a preferred monthly cash return of 7.5%, to more than $1.0 million with a cash return of 10.75%. Or, investors can pay a discounted per-unit price and receive more of the return on the back end with the ultimate sale of the property. That is for investors less concerned about receiving a steady monthly check.... Read More »
Our Listeners Speak: Real Estate vs. Business Value

Our Listeners Speak: Real Estate vs. Business Value

We recently hosted a webinar on a topic that has been on the minds of many as the healthcare real estate market hit record-high prices (in seniors housing and care) and deals with changing acuity and reimbursement environments. “Real Estate vs. Business Value For Healthcare Properties” featured moderator Steve Monroe of The SeniorCare Investor and speakers James Tellatin of Tellatin, Short & Hansen, and Chuck Herman of Charles Herman Consulting (formerly CIO of Welltower), and a 90-minute discussion on the valuation practices for skilled nursing facilities, assisted living communities, LTACs, behavioral healthcare and acute care hospitals. We also brought in our listeners to the... Read More »