Dave Sedgwick
Analyst · Raymond James. Your line is open
Thanks, Greg, and good morning. Now, our strategy has never been to grow for growth sake, and 2018 was the year where the value of that discipline was proven. As Greg mentioned, there were plenty of opportunities to overpay, instead we held our ground and used the lull to position ourselves for better acquisitions in the future. And they have begun to come, but I'll let market talk about that pipeline in a minute. As usual, let me update you on changes in the portfolio, starting with our newest new operator. Tennessee-based Providence Health Group joined us in Q4 through a single asset acquisition in West Virginia. Providence is owned and led by respected and skilled nursing veteran, Doug Cox. Doug has assembled a great team of operational, financial, and clinical talent to operate 10 facilities in the middle of the country. The first couple of months in our new asset have been terrific. We are now looking to add facilities to their master lease. In other parts of the portfolio, we've seen our operators make some tremendous strides, particularly in some of the, we'll call them, pre-stabilized assets we acquired in late 2017. Give you a couple of example, Cascadia Healthcare, based in Idaho, took over several Kindred and [indiscernible] buildings. Adding those facilities immediately took their master lease coverage down to levels that in any other setting would be uncomfortable for both landlord and tenant. However, turning around non-stabilized facilities is something they know well, and for which they have a proven track record, and it's something we're intimately familiar with as well as former turnaround operators ourselves. So we didn't panic when we saw the expected dip in coverage, which often happens during the first six to 18 months of a turnaround or repositioning, depending on the size and complexity of the job. We're really impressed with the solid work that Cascadia has done. If you ask them, they'll say they still have a lot left to accomplish, but they're overall trailing three annualized coverage today is back up to about 1.8 times. Another example is Texas and Louisiana based PMG. It had a similar experience as they tackled the three Texas Kindred facilities we acquired for them in Q4 of 2017. Predictably, the first several months produced choppy results as they absorb the new acquisitions and incorporated their operating model into them. They were also carrying out significant projects in all three. Part of our deal with them included us funding the CapEx for a strategic repositioning of these assets which impacted operations as well. So, they've had their fair share of headwinds as they work to stabilize the buildings. Nevertheless, looking at the trailing four annualized numbers, as of November, their lease coverage in those buildings is now approaching three times, and they're still not quite done with the last three models. Just a sampling of what great operators can do with good pre-stabilized opportunities. And we're pleased to be associated with these two great operators and several others, both in our portfolio and waiting in the wings. So we're staying firmly focused on our operator-first model, and we are continuing to look for more and better ways to evaluate, monitor, educate, and support our tenants and their operations. As I previewed on the last earnings call, effective January 1, we've added the qualitative data from PointRight to our operator scorecards. This qualitative facility and market data is further strengthening our underwriting and asset management processes. Perhaps more importantly, our contract with PointRight allows us to give their data to our smaller tenants who would otherwise be unable to afford it themselves, so they can use it to make smarter and more timely management decisions, improve operations, and enhance their ability to compete in a narrowing network environment. Finally, looking at the broader skilled nursing industry, the landscape remains stable with no major changes from last quarter. Our operating experience, our operators and the stable reimbursement environment, and the coming new PDPM reimbursement model combined to inform our positive outlook on this sector. Even during this lull, before the long-rumored [indiscernible] surge starts to make an impact. And with that, I'll hand it over to Mark to talk about the pipeline. Mark?