• Omega Invests in Saber Healthcare Joint Venture

    Omega Healthcare Investors released its third quarter earnings and made some news when it disclosed the acquisition of a 49% equity interest in a joint venture with Saber Healthcare. The JV will own and lease 64 skilled nursing facilities that were previously wholly owned by affiliates of Saber, which will retain a 51% equity interest in the JV... Read More »
  • Health Systems as Sellers in Three Transactions

    Cain Brothers advised on a trio of senior care transactions involving health systems as sellers, which could be a growing trend, particularly among any resource-constrained systems. Conversely, other systems may see the need to own skilled nursing beds in the future in order to control the transfer of their post-acute patients to SNFs and free up... Read More »
  • Large Ohio Operator Takes on Vacant SNF Beds

    Senwell Senior Investment Advisors facilitated the sale of 26 skilled nursing beds from a facility in Ohio and coordinated the repurposing of the real estate for future behavioral health services. The owners made the decision to close the facility after determining that the small size of the building prevented it from achieving the operational... Read More »
  • Not-For-Profits Secure Bond Financings

    Ziegler announced the successful pricing of $34.0 million Series 2025 bonds for The Chapel Hill Residential Retirement Center, Inc. d/b/a Carol Woods. Carol Woods is a North Carolina not-for-profit organization incorporated in July 1972 by a group of local citizens to develop, own and operate a CCRC in Chapel Hill, North Carolina. Currently,... Read More »
  • Ventas Posts Healthy Q3 With Robust Acquisition Activity

    Among the earnings results trickling out this month, it will be impossible to overshadow Welltower’s announcement with $14 billion in new investment activity and another great quarter of seniors housing operating portfolio (SHOP) performance improvements. But Ventas reported healthy results, too, and some significant acquisition volume.  Ventas... Read More »
Home Health Under New Pressure

Home Health Under New Pressure

New proposed reimbursement rules sent Kindred Healthcare and other home health stocks plunging, but it is necessary? Well, the home healthcare industry got hit with a jolt last week with proposed new reimbursement rules. The news sent Kindred Healthcare’s shares down 15%, which especially hurt since they are completing their exit from the skilled nursing business, and home health and hospice is taking on an increasingly important role at the company. What I find extremely annoying is that, on the one side, the government and elder care advocates continue to push for at-home supports and services, and just as health care providers are gearing up for it, the government seems to take away any... Read More »

Kindred Healthcare Sells SNF Division To BlueMountain

Kindred Healthcare announced an agreement to sell 89 skilled nursing facilities with 11,308 beds and seven assisted living communities with 380 licensed beds for $700 million, or $59,890 per bed. In today’s world, that can be considered cheap, since it is nearly 40% below the average price paid per bed in 2016, but there is more to it than meets the casual eye, since there is a group of leased facilities outside of the Ventas-owned properties that will be purchased from Ventas as part of the larger transaction. However, occupancy stands at 78%, which is below the historically low current national average of about 82%. The buyer is private equity firm BlueMountain Capital Management, LLC,... Read More »
Home Health Under New Pressure

Kindred Healthcare For Sale, Or Not

Kindred Healthcare disclosed that at least one buyer was in early talks to buy the entire company. Don’t you just love rumors? Last week, Kindred Healthcare disclosed that they were well on their way to divesting their remaining skilled nursing facilities, as planned, mostly in groups of facilities to different buyers. But we have also heard there was someone interested in the entire portfolio. Kindred also revealed that someone was in early discussions to buy the entire company. The shares jumped 15%. Now, readers may remember that we have been saying for some time now that the stock was undervalued, and that the components were worth well above the current market cap. Others do not... Read More »
Home Health Under New Pressure

Kindred Healthcare and Others Facing Labor Headwinds

Earnings season is almost over, and companies such as Kindred Healthcare, Genesis HealthCare and Brookdale Senior Living share the labor headwinds problem. Earnings season is almost over, and if there was one word coming from companies like Kindred Healthcare, Genesis HealthCare and Brookdale Senior Living, it was “headwinds.” Although there are different headwinds, one common denominator is labor, specifically its cost. A year ago, many companies were downplaying its significance. No longer. Genesis announced its earnings, and its stock dropped 16%. The Ensign Group announced, its stock also dropped 16%. Brookdale announced no news regarding a capital event and continuing occupancy... Read More »
Home Health Under New Pressure

Investors, and Congress, Ignore MedPAC

Since November’s crash, skilled nursing prices continue to rise. We sometimes wonder if the members of the Medicare Payment Advisory Commission, or MedPAC, ever get frustrated that their recommendations often go unheeded by Congress. This is certainly the case with recommendations for skilled nursing Medicare reimbursement. Last week, MedPAC recommended a Medicare rate freeze for SNFs through 2019, which Congress will surely ignore….again. Because Medicaid policy is not part of its charter, the MedPAC commissioners ignore it, even though they are keenly aware that in SNFs, Medicare payments subsidize low Medicaid payments. Medicare payment increases are usually quite small, but that... Read More »