Discuss a transaction SENWELL INSIGHTS
June 25, 2026
What This Means for the Sale Process If a state can veto a transaction on quality grounds, a seller who selects a buyer without doing serious quality work has created a problem that only reveals itself after the deal is signed. The transaction goes under contract. The state reviews the incoming operator. The buyer does
Read insightJune 9, 2026
For many health systems, the skilled nursing facility is one of the few service lines that consistently loses money year after year. According to MedPAC’s March 2026 Report to Congress, hospital-based SNFs operated at a -38% FFS Medicare margin in 2024. The reason is not mismanagement. It is a structural mismatch betwe
Read insightJune 2, 2026
[et_pb_section fb_built=”1″ _builder_version=”4.22.2″ _module_preset=”default” background_enable_color=”off” use_background_color_gradient=”on” background_color_gradient_stops=”rgba(10,11,15,0) 60%|#0a0b0f 100%” background_color_gradient_overlays_image=”on” background_image=”https://senwelladvisors.com/wp-content/uploads/2026/06/Akron-Skyline-scaled.jpg” background_position=”top_center” background_vertical_offset=”62%” position_origin_a=”bottom_center” height=”610px” custom_margin=”||||false|false” custom_padding=”||0px||false|false” custom_css_main_element=”display: flex;||align-items: flex-end;” da_disable_devices=”off|off|off” box_shadow_style=”preset3″ box_shadow_color=”rgba(0,0,0,0.5)” box_shadow_position=”inner” locked=”off” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” […]
Read insightApril 24, 2026
[et_pb_section fb_built=”1″ _builder_version=”4.22.2″ _module_preset=”default” background_enable_color=”off” use_background_color_gradient=”on” background_color_gradient_stops=”rgba(10,11,15,0) 60%|#0a0b0f 100%” background_color_gradient_overlays_image=”on” background_image=”https://senwelladvisors.com/wp-content/uploads/2026/04/DJI_20260122145513_0030_D.png” position_origin_a=”bottom_center” height=”610px” custom_margin=”||||false|false” custom_padding=”||0px||false|false” custom_css_main_element=”display: flex;||align-items: flex-end;” da_disable_devices=”off|off|off” box_shadow_style=”preset3″ box_shadow_color=”rgba(0,0,0,0.5)” box_shadow_position=”inner” locked=”off” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” […]
Read insightMarch 12, 2026
[et_pb_section fb_built=”1″ _builder_version=”4.22.2″ _module_preset=”default” background_enable_color=”off” use_background_color_gradient=”on” background_color_gradient_stops=”rgba(10,11,15,0) 60%|#0a0b0f 100%” background_color_gradient_overlays_image=”on” background_image=”https://senwelladvisors.com/wp-content/uploads/2026/03/Ohio-Memory-care-center.jpeg” position_origin_a=”bottom_center” height=”610px” custom_margin=”||||false|false” custom_padding=”||0px||false|false” custom_css_main_element=”display: flex;||align-items: flex-end;” da_disable_devices=”off|off|off” box_shadow_style=”preset3″ box_shadow_color=”rgba(0,0,0,0.5)” box_shadow_position=”inner” locked=”off” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” […]
Read insightJanuary 24, 2023
[et_pb_section fb_built=”1″ disabled_on=”off|off|off” admin_label=”Hero” _builder_version=”4.16″ background_color=”#44a2aa” custom_padding=”41px||14px|||” z_index_tablet=”500″ da_disable_devices=”off|off|off” box_shadow_horizontal_tablet=”0px” box_shadow_vertical_tablet=”0px” box_shadow_blur_tablet=”40px” box_shadow_spread_tablet=”0px” global_colors_info=”{}” theme_builder_area=”post_content” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][et_pb_row use_custom_gutter=”on” make_equal=”on” padding_top_bottom_link_1=”true” padding_top_bottom_link_2=”true” […]
Read insightJanuary 12, 2023
April 23, 2026
A broker opinion of value (BOV) is a market-informed estimate of what your assisted living, memory care, or skilled nursing facility would sell for if marketed to qualified buyers today. It is not an appraisal. It is not a listing. It is the most direct picture available of where your asset stands in the current transa
Read insightSeptember 3, 2019
HealthSwap Advisors, LLC and its online platform, Bed License Exchange, is excited to announce that they are now operating under Senwell Senior Investment Advisors. Bed License Exchange has become the nation’s leader in bed license transactions since its launch in 2015. Managing Partners, Ben and Brandon Bohland, saw a
Read insightSeptember 1, 2019
Our latest report can be found here! September 2019
Read insightAugust 1, 2019
Our latest report can be found here! August 2019
Read insightJuly 1, 2019
Our latest report can be found here! July 2019
Read insightJune 2, 2019
Our latest report can be found here! June 2019
Read insightSeptember 26, 2018
Operators who have never bought or sold bed licenses (“Beds”) without including the real estate as part of the transaction, have often struggled to understand the timeline it takes to complete the transaction. Most real estate owners and operators have become accustom to the common practice of acquiring a facility when
Read insightJune 20, 2018
Bed License Exchange was recently in the news again. Contact us if you want to discuss needs for your company to buy or sell in specific markets. See […]
Read insightMay 29, 2018
CMS data from April 2018 vs. April 2017 shows a net difference 1,991 skilled nursing beds that were taken out of circulation year-over-year. The net difference of the 1,991 beds was the difference between 16,164 beds added and 18,155 subtracted (further breakdowns on each below). Comparing to the previous year, a net o
Read insightMay 11, 2018
It’s no secret that nursing care occupancy levels continue to struggle. According to the latest National Investment Center’s 2Q17 Market Fundamentals report , nursing care occupancy declined to 86.2%. While operators continue to face headwinds, they are looking for creative ways to solve their occupancy problems. One s
Read insightApril 16, 2018
Depending on the state in which a facility resides, an operator may be able to sell all or a portion of its bed licenses. Some states simply do not allow operators to buy or sell bed licenses amongst each other. Other states require that each bed license be assigned to the physical plant, therefore only allowing a bed
Read insightMarch 5, 2018
There are several ways how an operator would go about acquiring bed licenses (see Four Ways To Adjust Bed License Capacity ). In this article, we would like to focus more on the ‘why’. Whether trying to grow the top line, or it being a strategic decision, operators are still out in full force acquiring bed licenses. To
Read insightFebruary 22, 2018
See the article Skilled Nursing News written about Bed License Exchange.
Read insightFebruary 19, 2018
Today’s bottom line is more sensitive than ever, forcing operators to get creative with their capacity (see NIC Skilled Nursing Data: Downward Pressure on Occupancy Continues and Skilled Nursing Operators Face Down ‘Unsustainable’ $2 Billion Cut ). Depending on state laws, operators are able to either acquire or reduce
Read insightMay 2, 2017
HealthSwap Advisors, LLC Announces the Launch of Bed License Exchange TOLEDO, Ohio – May 2, 2017 – HealthSwap Advisors, LLC is excited to announce the launch of Bed […]
Read insightApril 18, 2017
NCO:86.7|AIG:-0.2|CVI:0.7|S:2Q19
Read insight