If senior housing/healthcare investors hope to consistently outperform the market in today’s troubled economic waters, they need an active, hands-on asset management program.
An investment’s success is essential to the operational success of a facility’s clinical business. (An operator’s clinical business usually accounts for about 50% of all operational expenses.)
In boom times, senior housing/healthcare owners hope that capital markets perceive their properties as commercial real estate. But when commercial real estate markets are in the pits, the same owners like to remind capital markets that senior housing is a recession-resistant, need-based business, less vulnerable to the ups and downs of cyclical economic activity.
Unlike commercial real estate, where location and building quality are the primary considerations, investment risk and reward in senior housing transactions are dependent on the owner and operators business acumen. Typically, institutional investors want to work with an experienced ownership group that understands the nuances of the business.
Neither verbal affirmation nor a well-crafted loan covenant is enough to ensure that investors and owners are on the same page. What’s needed is a more all-encompassing asset management strategy that addresses common goals and expectations.
If there’s no asset-management strategy, both parties should consider dropping the deal.
The parties need to make certain that economic assumptions are compatible, with everyone pulling for the same thing. Usually, the goal is to achieve mutually-beneficial long-term rewards, but it can be whatever result the parties hope to produce.
Whatever is the agreement, transparency is essential.
Ideally, the ownership group will provide a series of metrics that function as an early warning system for potential problems. Owners should have a plan in place to correct problems before they escalate and to allow for swift operational changes if necessary.
Monitoring contract compliance, analyzing financials and reviewing clinical inspection reports are important ownership group staff functions, and so is the need to routinely inspect the property’s physical plant, review the licensure agreement, and address marketing and occupancy issues.
The ownership group needs to schedule visits to the property on a routine basis, he maintains.
Owners and managers need to learn how to work together. Interests can’t properly be aligned if ownership hasn’t a clue regarding what management is up to. The operating company is not going to perform well if the financial results of its actions aren’t clearly understood.