With 2009 nicely underway, several company sectors keep on to truly feel the anxiety of the economic downturn, such as the mortgage loan crisis and modern credit rating crunch. But this year’s 70 Largest Companies record-an annual Assisted Dwelling Govt exclusive-indicates that assisted dwelling providers so significantly have not taken as large a strike.
Although development has slowed from the previous handful of many years, more than 50 % of providers surveyed by Assisted Residing Govt still report will increase in accredited assisted residing resident capability, as of January one, even if it truly is only due to adding a single to a few new structures to their portfolios.
Modest Gains and Losses
Throughout 2008, no assisted living firms merged and entire-firm acquisitions ended up uncommon. The only business to grow by getting sizable rivals was Five S tar Senior Living, formerly Five Star High quality Care, which acquired New Seasons Assisted Residing Communities (No. forty nine on the 2008 checklist) and Somerford Corp. The moves helped elevate Five Star Senior Residing from No. eight to No. 6 and improved its assisted residing ability by much more than 45 per cent. However, regardless of a calendar year showcasing no massive discounts, the 2009 record demonstrates some reshuffling owing to small acquisitions and building. Perhaps not remarkably, the largest gains continue being with the largest gamers and are in tough numbers rather than main rank adjustments.
Sunrise Senior Living carries on to prime the list with an approximate assisted living resident capacity of 32,560 units. (Real numbers must be relatively larger thanks to building last yr but had been not offered at press time.) Emeritus Senior Residing and Brookdale Senior Dwelling maintained the No. 2 and No. three places, but also continued to develop by 8 p.c and 20 p.c, respectively. Assisted living resident capacity increased by 20 per cent at Atria Senior Dwelling Team (No. five).
In phrases of percentage expansion, Senior Care Inc. raised its assisted residing capability by almost 44 %, a gain that moved the Louisville, Kentucky-dependent supplier from No. seventeen in 2008 to No. eleven this calendar year. Senior Solutions of The usa (No. 29) grew 27 percent and moved up 7 spots. Affordable assisted living provider BMA Management only moved up three spots to No. 24 but also upped its potential by 28 per cent because of to new construction. Mt. West Retirement Corp. transformed its name to Bonaventure Senior Dwelling (No. 25) and raised its capability by 22 %.
In distinction, the largest rank-altering motion was in the base half of the record and did not mirror high true potential quantities given that sixty p.c of suppliers on the record have considerably less than 2,000 assisted residing inhabitants. The biggest mover was Senior Management Advisors (formerly Grownup Care Team), which jumped from No. 67 to No. fifty one by gaining 298 new assisted dwelling people and a forty two p.c achieve in ability. Bell Senior Residing jumped ten locations from No. 46 to No. 36, many thanks to 28 per cent ability development or 309 new assisted residing models. Erickson Retirement Communities also lifted its placement by 9 to No. fifty, introducing 196 units or 24 per cent. Brightview Senior Dwelling/The Shelter Group went from No. 70 to No. sixty two with just 149 new models and a 22 percent potential improve.
The Leading 70 had only three new entrants. Grace Administration leaped to No. 37 right after developing virtually fifty seven p.c to 1,399 residents, thanks to ten new administration contracts in 2008. CCRC service provider MBK Senior Dwelling joined the checklist at No. 60 following much more than doubling its assisted dwelling resident ability in 2008 to 842. And Milestone Administration Solutions (previously Our Property Senior Living) entered at No. 69 with 709 citizens, a 23 per cent boost from 576 described final year.
Only 6 providers reported potential losses, but true figures ended up reduced, indicating again the sale of only a single or two communities. The biggest decrease was 259 people by Kisco Senior Residing, decreasing its rank by thirteen spots from No. 41 in 2008 to No. 54 in 2009. However, due to the fact Kisco has new tasks below improvement, the firm is very likely to cost back again up the checklist in 2010. Only 1 organization that made very last year’s list, Harmony Living Centers, dropped off-not owing to a capability decline, but just keeping its 2008 resident capacity of 705. In addition to the a few currently-mentioned title-changers, Oakdale Heights Administration Organization renamed by itself Northstar Senior Residing (No. 28).
Obstacles and Chance
When the banking disaster arrived to a head last September, practically all development exercise grinded to a halt because of to deficiency of funds and uncertainty about regardless of whether cap prices mirrored correct residence values, claims Steve Monroe, controlling editor of the Senior- Care Trader e-newsletter. The only noteworthy motion at year conclude was that a major expected offer did not take place. In December, Overall health Care REIT withdrew its provide to purchase Arcapita Inc.’s ninety percent interest in 29 Dawn-managed qualities at what normally would have been seen as a very aggressive $643.five million price tag.
Still, regardless of the rocky economic climate, assisted living entered this slowdown in much greater shape than it did the very last massive recession, which coincided with excessive overbuilding around the calendar year 2000, in accordance to senior housing authorities. Despite worries that incapacity to sell homes, shrinking property, and laid-off family members customers who can give treatment at property will spur seniors to hold off moves into assisted living, occupancies trended down but not precipitously in the third quarter of 2008, claims Robert G . Kramer, president of the Nationwide Expense Center for the Seniors Housing & Treatment Business (NIC). While fourth-quarter occupancy information was not nevertheless accessible at push time, other information indicated that the most troubled markets, this kind of as Florida, California, and some certain metro marketplaces-Phoenix, Las Vegas, Chicago, and Riverside, California-have started out to bottom out, he adds. “Also, maintain in brain that occupancy is coming down from historic highs in the 2006 and 2007 timeframe,” Kramer states.
In an additional brilliant spot, earnings progress in the third quarter of 2008 even now remained in the four-5 % variety, he adds. If it drops to 3 %, traders will nevertheless see senior housing as a great defensive investment in contrast to other real estate asset sorts.
Moreover, while a lot of of the key commercial finance firms that had been energetic earlier are no longer lively, some possibilities for financing continue being accessible to senior housing companies, Kramer suggests. In distinct, romantic relationship-dependent little ($ten-$twenty million) discounts by way of local community-dependent creditors and some regional banking companies will continue to get produced, and an additional bright spot is that Fannie Mae and Freddie Mac have been very active as resources of takeout financing. REIT consumers, who nevertheless have excellent entry to funds, and probably even some private fairness entities may possibly turn out to be energetic afterwards in the 12 months if prices are minimal enough and values stabilize.
Since of recent steep inventory market place dives, community organizations may possibly find it more challenging to entry funds even if their functions are not impacted, Monroe claims. Top assisted Living Temecula tends to make it unlikely that any firm will go community this yr, but if circumstances boost, Atria remains the company to look at in that arena, he adds.
Sensible Expansion and Caution
The credit crunch and common caution by providers brought new creating starts off down 70 p.c among the 2nd and third quarters of 2008, and commences are predicted to continue to be flat overall for the foreseeable potential, Kramer says. Sunrise Senior Living, the most significant builder in current years, has frozen 54 improvement projects nationwide, and Cash Senior Residing Company has also suspended new development. Nevertheless, new building will increase potential in 2009 and 2010 as new communities that are previously underway open up. For illustration, Legend Senior Residing did not make this year’s record (presently it ranks No. seventy three with 585 assisted residing resident potential), but will probably enter the checklist up coming year owing to new growth previously underway, which will double its measurement.
One particular sector to observe for new developing is cost-effective assisted residing, which has accessibility to financing sources not accessible to standard vendors such as tax credits, nontaxable bond concerns, and HUD financing, claims Blair Minton, chairman and founder of BMA Management. He adds that, in 2009, BMA has six communities slated to open up and expects to start yet another six to 7 qualities, maintaining pace with a calendar year-over-year capability development goal of at minimum 25 p.c. The company, which at the commence of this calendar year operated 27 properties in Illinois, also programs to broaden into other Midwestern states.
“Industry fee residents who have far more income have a lot more choices and could not be selecting to shift into assisted living since they are afraid of what is actually taking place to their property,” Minton states. “Our residents are mainly very poor, so it is not impacting them. We’ve not seen a decrease in occupancy.”
This year could also be a excellent time to buy up land websites at low cost rates, positioning organizations with the resources to develop effectively for the subsequent few many years when financial situations ought to increase, Monroe states. “Unless we have twenty five % unemployment rates, I might love to be able to open houses in 2010-13,” he adds. “You are not heading to have competition, the desire will be growing, and the double kicker is that there will be a higher demand for assisted dwelling from folks who deferred a shift. Individuals who are now taking into consideration CCRCs will be shifting to assisted dwelling.”
The new 12 months might also provide some good pricing chances for assisted residing suppliers who wish to grow their portfolios by way of acquisition and have access to cash, Monroe suggests. Without a doubt, January 2009 already saw a notable massive deal as Sunwest Management bought off 45 senior dwelling communities to a big undisclosed private fairness purchaser, which has contracted with Senior Useful resource Group to control forty one of the houses below the name LaVida Communities. The organization managed its prolonged-phrase No. 4 location in 2009 but experienced a troubled 12 months with about thirty constrained liability businesses affiliated with it filing for Chapter eleven bankruptcy, and President Jon More difficult also resigned in January.
Well-financed modest firms, with five to ten properties, in distinct, have a fantastic chance to double in measurement due to their capability to uncover the little amount of capital necessary for a single-off acquisitions, Monroe states. But a single massive player to view for acquisition action in 2009 is Emeritus. The organization fulfilled all its 2008 objectives very last 12 months to purchase up leased belongings previously operated by Summerville Senior Dwelling, with which it finalized a merger in 2008, as well as picked up leases to eleven houses previously operated by Sunrise and owned by HCP Inc. in a uncommon December deal, according to Justin Hutchens, former Emeritus COO and senior vice president. While the company will scrutinize its paying carefully owing to the shaky financial system and has slowed new improvement, it is properly-positioned to expand up coming 12 months in markets the place demand from customers exceeds offer, Hutchens claims.

Companies tempted to push the stress button would do properly to bear in mind that demographic trends eventually favor senior dwelling and assisted living in the prolonged phrase, suggests Karen Shayne, CEO of Nashville-dependent Maristone Senior Residing and a veteran of a lot more than a ten years of knowledge in extended-time period treatment. The new firm has two homes below building and slated to open up this summer and tumble, but even though Shayne foresees the year as “bumpy,” she is not worried about filling models. In the metro Nashville market, she says she is “acquiring phone calls like crazy” from fascinated citizens and is confident that inside eighteen months, senior housing “will explode again. There is an ebb and stream to every market, but I believe by far now with the little one boomers incoming and seniors turning into far more advanced, if you have the right packages to present, they will come.”