Over the past few years, public buyers, dominated by the public REITs, have been the dominant player buying seniors housing and care properties. That changed in 2016, when higher costs of capital limited purchases by public REITs. Consequently, acquisitions by institutional buyers and private buyers (including private REITs and partnerships) accounted for the majority of dollar volume in 2016. With public REITs relatively quiet in terms of closed deals, volume dropped significantly compared to 2015. However, smaller dollar transactions kept 2016 active.
Investment returns for seniors housing historically have outpaced the overall NCREIF (National Council of Real Estate Investment Fiduciaries) Property Index (NPI), a property-level index that tracks investment return performance for commercial real estate. But while seniors housing returns outperformed the NPI in the third quarter of 2016, the total annual return for this sector has been slowly trending down since mid-2014.
From a regulatory perspective, 2016 was certainly a busy year in seniors housing and care. From new bundled payment models to revised participation requirements, the Centers for Medicare and Medicaid (CMS) rolled out new guidance and rules at a rapid pace. With a new administration and a new leader at the helm of Health and Human Services (HHS, the agency under which CMS operates), 2017 could turn out as interesting as 2016. Here are the regulatory areas I'll be keeping my eye on in the next year.
The Southeast is a vibrant and expanding region of the U.S., both for job seekers and business owners. This region, which includes Florida, Georgia, Mississippi, Alabama, and Tennessee, attracts older and younger people alike, who are drawn by the warmer climate, retirement destinations, business connections, cultural offerings, recreational opportunities, and broad-based growth potential.