How much ramp credit to give an assisted living seller who blames census decline on DON turnover
A useful case to work through: 32 licensed AL units, single story, 2004 build, asking $4.6M, so $144k a door. T-12 revenue $1.9M against T-12 expenses of $1.72M, trailing NOI about $180k, a 3.9 cap on ask. The seller's pro forma runs 90 percent census and $2.55M revenue, calls it $640k NOI, and prices off that. Census history: 88 percent, then 79, then 71 over three annual periods. The seller's explanation is that the director of nursing left, two hospital discharge planners stopped referring, and an interim administrator didn't market the building. Payor mix is 23 private pay at roughly $4,900 average and 9 on the state waiver at roughly $2,400, with the waiver residents concentrated in the best units. Three things generally need resolving in a case like this. First, most lenders size off trailing performance, and HUD 232 in particular wants trailing plus a stabilized occupancy history, so waiting years for a favorable trailing number is often the practical reality when census is sloping down rather than flat. Second, change of ownership on the license typically runs 60 to 120 days for state approval, and a workable licensure contingency needs to keep a deposit soft until that approval clears rather than hard on inspection alone. Third, if the referral story is accurate, the fix is a new DON and a marketing hire, often around $220k a year of added expense against maybe six units of recovered census over eighteen months, roughly $350k of incremental revenue at private pay rates. That only pencils if the census decline was truly a management failure and not new competitive supply nearby that hasn't been identified yet. The underwriting discipline is to separate a broken operator from a broken market before trusting a seller's story that conveniently blames the operator who already left.