• Sabra’s Q4 Deals Push 2025 New Investments to $450 Million

    Sabra Health Care REIT released its fourth quarter results. On a year-over-year basis, same-store cash NOI increased 12.6% for the fourth quarter of 2025, while the 2025 quarterly year-over-year average increase was 15.0%, inclusive of the stabilized facilities formerly operated by Holiday Retirement.  Its Q4 acquisitions brought the... Read More »
  • CareTrust Closes 2025 with 169 New Property Investments

    CareTrust REIT came out with its fourth quarter and full-year 2025 earnings and is continuing on its growth trajectory. In Q4, the REIT added 19 properties to its portfolio, comprising 14 triple-net leased skilled nursing facilities, two triple-net leased seniors housing communities and three SHOP communities, all totaling $561.5 million in... Read More »
  • Separate Sellers Divest in Florida

    Berkadia announced two seniors housing closings, both involving communities in the Sunshine State. First, Berkadia represented a Maryland-based private equity investment firm in its divestment of a 130-unit independent living, assisted living and memory care community in the Jacksonville, Florida MSA. The asset was built in 2015. Ross Sanders,... Read More »
  • Idaho IL/AL Community Receives HUD Financing

    Berkadia secured $27.5 million in financing for a seniors housing community in Idaho. The asset comprises 191 independent living and assisted living units, and was 97% occupied at the time of closing. Bianca Andujo and Steve Muth closed the financing through HUD’s 232/223(f) program for a first-time Berkadia client based in Tennessee. The loan... Read More »
  • Welltower Releases Strong Results, Again

    Welltower announced its fourth quarter and full-year 2025 results, which reflected a strong year, as anticipated. Investors seemed to agree, with shares rising to an intraday high of 5.9% above the prior close the day following the release, before finishing up 3.5%.  In the fourth quarter, the REIT saw 400 basis points of average occupancy... Read More »
Brookdale, HCR ManorCare and NIC

Brookdale, HCR ManorCare and NIC

Two major companies make decisions, one with a path forward and the other still unclear, and they will be the talk of Dallas at the NIC conference. As the senior care investing world descends on Dallas today for the Spring NIC conference, the giddy tone of the newcomers may be sobered by the recent events at Brookdale Senior Living and HCR ManorCare. Brookdale was the worse story, with its share price now down 80% from three years ago. The announcement last week that HCR ManorCare will submit a pre-packaged bankruptcy filing and become a wholly-owned subsidiary of landlord Quality Care Properties was not a surprise, but just confirmed that the skilled nursing sector has a long struggle... Read More »
HCR ManorCare Continues to Fight

HCR ManorCare Continues to Fight

We are not sure what HCR ManorCare’s end game is in its battle with landlord Quality Care Properties, which owns the vast majority of its properties. HCRMC recently filed a motion in court to dismiss certain claims in QCP’s receivership complaint. We are not sure what leg they have to stand on. The provider is so far behind on its contractual rent payments that it is a wonder that QCP has not done what other REITs have done when their tenants have not been able to pay the rent. On January 25th, HCRMC did not pay the reduced rent of $14 million that was due. The past dues are simply piling up, and while we understand there is a difficult operating environment, it does not mean you can... Read More »
Update On Consulate Healthcare’s Legal Affair

Update On Consulate Healthcare’s Legal Affair

In major news for the skilled nursing industry, the $347.86 million judgment against affiliates of Consulate Healthcare was vacated in its entirety by the United States District Court, Middle District of Florida earlier this week. This was basically a Medicare “fraud” case. The judge ruled that the plaintiff’s assertions that a “handful of paperwork defects (for example, unsigned or undated documents) compel the decisive inference that the defendants never provided the therapy evidenced by the paperwork and billed to Medicare” was just plain wrong. To boot, the government continued to pay the defendant even though the government knew there were some disputes between the two sides regarding... Read More »
HCP In Hot Water Again

HCP In Hot Water Again

We are sure that management at HCP, Inc. is happy that they spun out the HCR ManorCare assets to a new REIT, since they have not had to deal with the continuing rent shortfall, which started when HCP still owned the assets. But leveraged investments of any kind seem to be taking their toll across the board. From July 2012 through May 2015, HCP funded a total of $257 million under a collateralized mezzanine loan facility with Tandem Health Care. This loan matures in nine months and has a weighted average interest rate of 11.5% (ouch). In tandem with this loan, there is a $257 million syndicated senior loan that matures in six months. Through sales of various SNFs, most of the net proceeds... Read More »
National Healthcare Corporation Holding Its Own

National Healthcare Corporation Holding Its Own

With all the media attention on financial problems within the skilled nursing sector (and we are guilty of this as well), there are some companies which are doing okay in this environment. One is National HealthCare Corporation, a publicly traded company that keeps very quiet but, with a market cap of $989 million, is one of the largest public senior care companies. For the three months ended September 30, 2017, its average Medicare rate has increased by $6.00 to $459.63 year over year, while its Medicare patient days increased marginally. Meanwhile, it managed care average daily rate (which we assume to be mostly Medicare Advantage) remained flat while the total managed care patient days... Read More »