• Senex Foundation Divests SNFs to Owner/Operator

    Vince Viverito, Jason Punzel, Jake Anderson and Taylor Graham of Senior Living Investment Brokerage were engaged by Senex Foundation, a Denver, Colorado-based owner/operator, to help with the disposition of a four-property portfolio and recently closed the second tranche involving two skilled nursing facilities in Nebraska. The deal included the... Read More »
  • 60 Seconds with Swett: The REITs’ Acquisition Appetite

    With most of the Q1 earnings results in, we’ve been sifting through a lot of good news on occupancy growth, resident rate increases, expanding NOI margins and the phenomenal long-term outlooks. But our main takeaway had to be the major M&A plans that almost every publicly traded company has completed so far this year and plans to close... Read More »
  • Sonida Senior Living Reports Q1 as CNL Deal Reshapes Portfolio

    Sonida Senior Living reported its first quarter results after becoming the eighth largest seniors housing owner toward the close of the quarter. The company completed its acquisition of CNL Healthcare Properties, a public, non-traded REIT that owned 69 seniors housing communities, bringing Sonida’s owned portfolio to 153 owned properties and... Read More »
  • Alta Senior Living Secures Refinance

    At the end of 2021, Alta Senior Living acquired Tequesta Terrace Senior Living (at that time, Village of Tequesta, Tequesta Terrace), a 106-unit assisted living/memory care community in Palm Beach County, Florida. After executing its value-add capex, operational turnaround and lease-up plan, Alta engaged Blueprint to run a full debt process. A... Read More »
  • All-Cash Skilled Nursing Deal Closes

    An undisclosed buyer acquired a 99-bed skilled nursing facility in Ohio through an all-cash transaction after the seller’s senior lender pushed for an exit. Stan Klos III of 3G Healthcare Real Estate handled the deal. An initial buyer walked away from the deal after a conversion from a lease-only structure was declined by the lender. Another... 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 »