• Diversified Healthcare Trust Raises Expensive Debt, Ventas Makes Cuts

    Diversified Healthcare Trust Raises Debt Diversified Healthcare Trust tapped the debt markets with a $1.0 billion, five-year senior note offering with a yield of 9.75%. That puts the spread over the 5-year Treasury at about 940 basis points. That has to be the widest spread by a healthcare REIT we have seen in years, if not a decade or two.... Read More »
  • Carnegie Capital Announces Latest Closings

    JD Stettin of Carnegie Capital has certainly had his hands full recently, having closed a couple of refinances in the Pacific Northwest, no easy task in the early days of COVID-19, we’re sure.   Mr. Stettin first sourced and structured a cash-out refinance of a 60-unit memory care community near Eugene, Oregon. Featuring a roughly 50-50 mix of... Read More »
  • PGIM Refinances Tennessee Senior Living Community

    PGIM Real Estate announced its latest transaction, with Executive Director Chris Fenton leading the way. It involved a $10.6 million HUD refinance of a senior living community in Ashland City, Tennessee. Built in 2015 with 100 beds in 80 units, the community provides assisted living and memory care services in a four-story building.   Thunderhawk... Read More »
  • Greystone Arranges HUD Construction Debt

    Working through HUD, Lisa Fischman of Greystone facilitated construction financing for an assisted living community to expand its Buffalo, New York-area campus. Originally built in 2003 with 110 beds in 84 units, the community is located on a 20-acre campus. Onsite amenities including a theater, physician’s office and beauty salon certainly... Read More »
  • Genesis HealthCare’s Shares Double in Value

    Leading up to Genesis HealthCare’s first quarter earnings release and conference call, the company’s share price took off. The rise started on May 22 when it jumped by 22% on high volume, but then it added another 35% on volume that was 10 times the average. In the course of four days, the price more than doubled, from $0.63 per share to $1.37... 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 »
What Do The REITs Know?

What Do The REITs Know?

When the Big Three healthcare REITs (Ventas, HCP and Welltower) largely divested their skilled nursing portfolios in the past few years, it prompted questions about the industry’s health. The exodus was kicked off in August 2015 by Ventas, which spun out most its skilled nursing/post-acute care portfolio into a separate REIT, Care Capital Properties (which just this month agreed to merge with Sabra Health Care REIT). Then, effective November 1, 2016, HCP followed suit, in a spin-off of its troubled HCR ManorCare assets (over 320 properties) into Quality Care Properties. Finally, after over a year of denying any such move, Welltower sold a 75% stake in 28 Genesis Healthcare-operated... Read More »

The Santa Stock Rally Is Stalling

We were supposed to see stocks rise this month, but so far the market is down as are seniors housing stocks. So what happened to the Santa rally? While we still have a few weeks to go before the end of the year, the markets have been sinking, and almost all seniors housing and care stocks have dropped, with Brookdale Senior Living falling the most, with a loss in value of 12% since November 30. It has now dropped below the psychologically important $20 threshold, and any bad news could add insult to injury. The others are closer to a mid-single-digit decline this month, but with one glaring exception. That is The Ensign Group, which is up just over 2% this month as it keeps chugging along... Read More »

The Senior Care Pricing Disconnect

The public equity market for senior care operating companies and REITs is getting slammed, but the private investment market remains strong. The pricing disconnect continues. Public equity investors continue to slam the senior care operating companies and health care REITs. All one has to do is look at what has happened to Kindred Healthcare and Genesis Health this past week or two, when both companies dropped to new lows and have not yet recovered. Fears of reimbursement pressure, fears of OIG investigations, fears of staffing costs. All have some degree of merit, but it seems like an overreaction to me. Just look at the private market, where both acquisition pricing and demand remain... Read More »