Many clients ask where I am seeing the most M&A activity. The short answer is anywhere that SLIB is actively working.

We can’t point to any specific type of care (assisted, skilled, memory care, independent living) that is selling more transactions than the others. There is demand for assisted and memory care due to the lack of development over the last two years. Based on the aging population and lack of new units coming on line, many anticipate a shortage of available units to meet the demand for care. Because skilled nursing relies on higher acuity and those that require care, demand for these services is higher than ever. Pressure on Medicaid rates has led to buyers looking for strategic acquisitions. Medicare and Private Pay census remains strong.

We see activity all across the country. There isn’t specific geographic regions that are seeing more activity than others. Instead, some buyers are actively looking for stable, cash flowing opportunities while others are looking for value-add, turnaround acquisitions. It doesn’t matter where the deal is, as long as it is the right deal.

Please contact Ryan Saul at for up-to-date market conditions. I would be happy to prepare a confidential proposal to determine market value for your facility.


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