Services
Mergers and Acquisitions
Senior Living and Long Term Care Databases
Skilled Nursing Mergers and Acquisitions
In the late 1990’s with the evolution of PPS coinciding with the beginning of spiraling liability and health insurance costs, the majority of larger skilled care operators filed for bankruptcy protection. The silver lining is that the majority of those companies emerged intact and eventually thrived as operators adjusted to the changing reimbursement environment.
With the current changing environment to MCOs and otherwise, the industry again faces major changes. These changes always result in winners and losers. Companies that transition faster and smoother are the winners, while other companies lag behind. This type of environment typically leads to more transactions that includes both the real estate (Propco) and the operator (Opco) standpoint.
Even in times of transition, Skilled Nursing Consultant’s confidential approach, deep team and extended relationships can maximize value.
Revenue and Growth Opportunities
The ongoing Medicare audits and settlements, in combination with changing reimbursement to Managed Care Organizations (MCO’s) results in both challenges (and to somewhat of a lesser degree, opportunities) for skilled care operators and skilled care facility investors.
Over the last several years there has been what we refer to as a Second Boom in Assisted Living development. The industry is already experiencing overbuilding in many major and second-tier markets.
While development is slowing to a degree, opportunities still exist in turnarounds and development of projects that take more of a Senior Living Continuum of Care approach. There are still many opportunities in solid third-tier markets.
Compliance Support and Monitoring
As some operators gets stretched thin in fast paced growth or imbalanced in the types or location of facilities in their portfolio, more and more lenders, investors, REIT’s and REIT-like entities are engaging professionals such as Senior Consulting and its team to monitor operator performance from both compliance and financial standpoints.
With implementation of MCO’s, many states are becoming increasingly stringent on quality of care indicators that can jeopardize Medicaid Certification in certain states. Larger operators are much more likely to be subjected to Medicare audits that typically result in substantial settlements and repayment for excess use or miscategorization of rehabilitation services.
Monitoring appropriate use of Rehab and Medicare services or supporting Medicaid lobbying are two areas where we can provide additional support as part of Skilled Nursing Lessor Services.