Roadmap to Financing Your Long Term Care Project

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Lydia Bell
10 years ago
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1 Roadmap to Financing Your Long Term Care Project Panelists: Gerald M. Swiacki, Lancaster Pollard Senior Vice President Southeast Regional Manager Alec Blanc III, Regions Bank Senior Vice President F. Donald Kelly III, CapitalSource Healthcare Finance Group Director Moderator: Rich Faulkner, Baker Donelson Shareholder

Alec Blanc III, Regions Bank Senior Vice President F.

2 The Financing Market Today Refinance Special Considerations: HUD Special Considerations: Portfolios Acquisitions Special Considerations: Financing the Turnaround Special Considerations: Equity Requirements Construction Special Considerations: Major Renovations/Additions Accounts Receivable Financing Baker, Donelson, Bearman, Caldwell & Berkowitz, PC 2

Considerations: Equity Requirements Construction Special Considerations: Major

3 Doing the Loan Transaction Tips for Starting a Loan Transaction Special Considerations: Handling the blemishes Special Considerations: Cash management Baker, Donelson, Bearman, Caldwell & Berkowitz, PC 3

blemishes Special Considerations: Cash management www.

4 HUD perspectives Baker, Donelson, Bearman, Caldwell & Berkowitz, PC 4

5 Healthcare Reform Baker, Donelson, Bearman, Caldwell & Berkowitz, PC 5

6 Questions Baker, Donelson, Bearman, Caldwell & Berkowitz, PC 6

7 Contact Information Panelists: Gerald M. Swiacki, Senior Vice President Southeast Regional Manager, Lancaster Pollard Alec Blanc III, Senior Vice President, Regions Bank F. Donald Kelly III, Director, CapitalSource Healthcare Finance Group Moderator: Rich Faulkner, Shareholder, Baker Donelson Baker, Donelson, Bearman, Caldwell & Berkowitz, PC 7

com Alec Blanc III, Senior Vice President, Regions Bank alec.blanc@regions.com F.

8 Regions Long Term Care Finance Regions Long Term Care Team seeks to establish client relationships with multi-unit owner/operators of skilled nursing, assisted living, and memory care facilities. Generally, such operators will have at least five to ten properties under management and have a proven track record of quality care and stable performance. Funding Purposes Acquisition Renovation/Expansion Refinancing, including Bridge to HUD New construction for select operators Client Profiles Five to ten (or more) properties under management High quality, professional management Stable cash flow and reasonable leverage (generally < 6.0x EBITDAR) Good survey performance and quality of care metrics Typical Deal Structures 3 to 5 year term real estate loans with 15 to 25 year amortization Up to 75% LTV, with the value being the lower of cost or appraised value Usually full recourse to principals or parent Market competitive pricing and fees FHA (HUD) insured lending programs also available 8

Funding Purposes Acquisition Renovation/Expansion Refinancing, including Bridge to HUD New construction for select operators Client Profiles Five to ten (or more) properties under management High

9 CapitalSource Overview CapitalSource Inc. (NYSE: CSE), through its wholly owned subsidiary CapitalSource Bank, makes commercial loans to small and middle market businesses nationwide and offers depository products and services in 21 retail branches in southern and central California. CapitalSource, headquartered in Los Angeles, had total assets of $8.8 billion and total deposits of $6.1 billion as of September 30, Over the last 12 years, we ve committed $30 billion in loans to over 1,600 customers. Our primary focus is on senior debt transactions with loan relationships ranging from $5 $100 million through eight main divisions: Healthcare Finance: All healthcare asset based, real estate, and cash flow loans. Small Business Lending: All small business lending activities across all industries. Professional Practice Lending: Loans to small professional practices, including dentists and physicians. Corporate Asset Finance: All equipment finance and leasing activities. Commercial Real Estate Finance: Commercial real estate lending activities, including multi family. Lender Finance: A broad range of lender finance products specifically designed to assist resort operators, commercial real estate lenders, automobile, and consumer finance companies. Leveraged Finance: All corporate lending activities, including cash flow and asset based loans. Premium Finance: Insurance based risk management and funding solutions to help grow personal estates and business interests Healthcare Finance Spring 2013 p. 9

branches in southern and central California. CapitalSource, headquartered in Los Angeles, had total assets of $8.8 billion and total deposits of $6.1 billion as of September 30, 2013.

10 Healthcare Portfolio Overview As of September 2013, CapitalSource s seniors housing and long term care portfolio represented approximately $900 million of outstanding loans held by the company Healthcare Real Estate loan were approximately $750 million Healthcare Asset Based loans were approximately $150 million The typical Healthcare Real Estate loan is for $5 million to $50 million, for acquisition financing, refinancing, recapitalization or bridge to HUD, 5 year term, 25 year amortization, Libor %, 1.00% upfront fee and 80% loan to value. Healthcare Finance Spring 2013 p. 10

approximately $150 million The typical Healthcare Real Estate loan is for $5 million to $50 million, for acquisition financing, refinancing,

11 Contact Information F. Donald Kelly III Director, Healthcare Real Estate 9040 Town Center Parkway, Suite 104B Lakewood Ranch, FL Healthcare Finance Spring 2013 p. 11

12 Lancaster Pollard s Platform of Services Providing Financial Advisory and Capital Funding Services to Senior Living Hospitals Affordable Housing New Construction Renovation Expansion Refinance Acquisition/Sale Investment Banking Lancaster Pollard &. Co Debt Underwriting Financial Consulting Financial Derivatives Mergers & Acquisitions Private Placements Remarketing Mortgage Banking Lancaster Pollard Mortgage Company FHA Insured Mortgage Loans GNMA Issuer/Servicing Mortgage Loan Servicing USDA Guaranteed Loans Fannie Mae Multifamily & Affordable & Seniors Housing Lender/Servicer Investment Advising Lancaster Pollard Investment Advisory Group Arbitrage Assessment Asset Liability Management Capital Structure Optimization Fiduciary Investment Consulting Project Fund Management Risk Management Advising 12 Financing Progress

Co Debt Underwriting Financial Consulting Financial Derivatives Mergers & Acquisitions Private Placements Remarketing Mortgage Banking Lancaster Pollard Mortgage Company FHA Insured Mortgage Loans

10-Yr U.S. Treasury Yield Since 1962. 10-Yr U.S. Treasury Yield Forecast. HUD 232 LEAN Overview

Why Has HUD Exploded in Popularity as a Financing Option for SNF, PCH, and AL Facilities? Ken Gould Senior Vice President and Northeast Regional Manager Lancaster Pollard 10-Yr U.S. Treasury Yield Since