states with nursing-home Certificate of Need or bed moratorium frameworks
Transferability, approvals, timing, and geographic restrictions vary by state.
Bed License ExchangeOperated by Senwell Senwell Advisors Healthcare capacity, made transferable
The marketplace for Certificate of Need bed licenses.
Buy, sell, and strategically transfer licensed bed capacity with confidentiality, market intelligence, and experienced advisory.
Established 2015 Operated by Senwell Senior Investment Advisors.
Confidential transactionsExperienced advisoryNational market intelligenceTrusted by operators and investors
A specialized national market
Scarce capacity.
Strategic opportunity.
In Certificate of Need and moratorium states, licensed beds can be the key to expanding an existing facility, entering a new market, or shaping where future capacity is developed.
The nation’s leader in bed license transactions
A focused marketplace supported by senior care, seniors housing and post-acute transaction advisors.
How the exchange works
A discreet process, built around your strategy.
- 01
Define the objective
We assess the state, bed type, geography, timing, and strategic requirements.
- 02
Access the market
We identify qualified counterparties and create competitive tension while protecting confidentiality.
- 03
Navigate the transfer
We advise through negotiations, diligence, documentation, and the state approval process.
Established 2015
Built to bring liquidity and transparency to bed license transactions.
Bed License Exchange began as an auction-style marketplace connecting healthcare operators, owners, and investors. Today, it is operated by Senwell Senior Investment Advisors, pairing nationwide market reach with hands-on transaction advisory.
Whether you are monetizing excess capacity or seeking beds for growth, your strategy and identity are handled with care.
Skilled Nursing & Assisted Living
Bed License Activity
Senwell tracks bed license supply and demand across the United States. The map shows current activity, but a state with no activity on the map can still hold opportunity, and some states are easier to transact in than others. Registered users can see bed type and quantity where a county has multiple listings.
Buying, selling, or exploring the process? Talk to an advisor.
Loading market activity…
What is your bed license strategy?
Let’s find the right side of the market.
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