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Advising the Senior Housing Community



         The Resilience of Seniors Housing Real Estate
    Following the Global Financial Crisis of 2007 – 2008


    Presented by Sean Murphy, Executive Chairman, CensusUp



1                                                                    1/2/2013
I. Thesis
       Residential real estate defaults negatively impacted
        the commercial real estate sector, generally, but
        seniors housing held its value
           Residential real estate bubble peaked in April 2006
           Prices began steep fall mid-2006
           Bursting of residential real estate bubble:
               Produced the Global Financial Crisis (GFC) of 2007-2008
               Negatively impacted commercial real estate (CRE) for years to
                come, both debt and equity capital
               Fundamentally changed institutional investors’ allocations to
                CRE Funds (CREFs)
               Caused institutions to retreat to core assets (e.g. Central
                Business District office in select metro areas) and reduce
                exposure to other CRE asset classes

    2                                                                   1/2/2013
II. The Residential Real Estate Bubble
                                                                            2006 Peak to
                                                                            Rapid Crash
                                                                            - No Plateau




       US homeownership rate rose substantially between late 90’s and 2006 BUT: Hyper-
        growth driven by easy credit (i.e., “Subprime Debt”)
       Residential Real Estate Bubble: Average US Home Price Nearly Doubled between
        1995 – 2005 from approx. $135,000 to approx. $250,000
       Buyers’ manic purchasing, particularly by first-time homeowners with sub-standard
        FICO scores

    3                                                                               1/2/2013
III. The Crash
                                       Buyers sought quick
                                        wealth (“flipping”)
                                       Unqualified/
                                        unsophisticated
                                        borrowers
                                       Popular Adjustable Rate
                                        Mortgages (ARMs) with
                                        “teaser rates”
                                           Upon loan re-set:
                                            dramatically higher rates
                                            and mortgage payments
                                       Widespread belief: real
                                        estate prices only rise
Manic Buying. Peak. Massive Crash      Misplaced reliance on
                                        ease of property
                                        refinances



4                                                            1/2/2013
III. The Crash: Subprime Meltdown
       Massive pools of
        Residential Mortgage
                                 Late 2006             July 2007
        Backed Securities
        (RMBS) and Collateral
        Debt Obligations (CDO)    Subprime defaults
                                   rise at alarming      MBS/CDOs lose
        2003 – 2007                      rates          most of their value


       Late 2006: Subprime
                                  For 6 more months,
        defaults rise              ratings agencies
                                                        New securitizations
                                   continue to give
        dramatically              AAA ratings to new
                                   MBSs and CDOs
                                                             vanish


       July 2007, Moody’s/
        S&P downgrade RMBS                              90% of AAA-rated
                                                        RMBS downgraded
        & CDOs                                              to junk




    5                                                           1/2/2013
III: The Crash: Foreclosures Nationwide
                                                                        The days of easy
                                                                         credit and the
                                                                         residential real
                                                                         estate bubble
                                                                         rapidly morphed
                                                                         into a foreclosure
                                                                         epidemic across
                                                                         the country
                                                                        Economic models
                                                                         failed – credit
                                                                         rating agencies
                                                                         relied upon
                                                                         erroneous
                                                                         assumptions of
                                                                         very conservative
                                                                         residential loan
                                                                         default rates
Source: http://blog.builddirect.com/foreclosure-crisis-what-to-do/

    6                                                                              1/2/2013
IV. The GFC (“Great Recession”) Crushed
    Investments
                               US Stockholders suffered losses
                                of approx. $8 TRILLION during
                                2008
                               June 2007 - Sept 2008:
                                   Bear Stearns subprime hedge
                                    funds collapsed
                                   Bank of America took over
                                    Countrywide due to widespread
                                    losses in subprime loans
                                   IndyMac failed and was seized by
                                    FDIC
                                   Federal gov’t took over Fannie
                                    and Freddie
                                   Lehman Bros. declared
                                    bankruptcy
                                   Merrill Lynch forced to be
                                    acquired by BoA and sale
                                    announced
                                   Fed offered AIG an $85 billion
                                    credit line
                                   WaMu failed, seized by the FDIC
                                    and sold to JP Morgan Chase
                                   Federal Gov’t used hastily enacted
                                    emergency legislation (TARP)

7                                                          1/2/2013
IV. Global Financial Crisis Brought Dramatically
    Lower Transaction Volume
       2007 – 2009
           88% drop in
            transaction
            volume
           $359 billion in
            sales down to
            $60 billion

       CRE property
        values fell by
        about one third
           EQUAL to the
            decline of the
            1990’s CRE
            recession BUT
            in a fraction of
            the time

    8                                        1/2/2013
IV. The GFC: CMBS Nearly Extinct




         Source: Commercial Real Estate Finance Council (DC Trade Association)



       CMBS issuances of approx. $235 billion in 2007 fell to approx. $12 Billion in 2008
       Borrowers needing to re-finance were in a very difficult position
       Lenders: “extend & pretend”
       Very slow improvement over past 3 years - standards have tightened making debt
        unavailable to many commercial borrowers.

    9                                                                                  1/2/2013
IV. The GFC: Maturing CMBS Slowing CRE
    Market Revival
                                                             Brake on CRE
                                                              market:
                                                                 restructuring
                                                                  distressed debt
                                                                  delays lending
                                                                  on new
                                                                  projects
                                                             Estimate: 60%
                                                              of CRE
                                                              maturities
Lenders need to deal with problem loans before they can
       advance additional debt to CRE markets.                through 2015
                                                              in distress


 10                                                                      1/2/2013
V. Seniors Housing Cyclical Resilience, Unique
   Demand
    Growing Market Demand
         Healthcare expenditures are approximately 17% of U.S. GDP and are
          expected to reach 20% by 2017.(1)
         Seniors housing is a highly fragmented market. There are approximately
          22,000 seniors housing and nursing care facilities in the U.S. valued
          between $250Bn and $270Bn.(2)
         Seniors population rises as the baby boom ages
    Attractive Risk-Adjusted Returns Relative to General
     Commercial Real Estate Sectors
         Conventional real estate assets recently traded at historically low cap
          rates and many are currently under stress.
         Barriers to entry - specific skill set required, regulatory approvals restrict
          supply, historical lack of institutional capital.
    Distinct Performance and Pricing Characteristics
         Higher current returns should reduce reliance on terminal values to
          achieve favorable risk-adjusted total returns.
         Financing market for seniors housing has become attractive despite
Sources:
          ongoing stress in the credit markets.
1) Centers for Medicare and Medicaid Services
2) NIC Investment Guide 2012: Investing in Seniors Housing & Care Properties

    11                                                                             1/2/2013
V. Seniors Housing Real Estate Spectrum –
           Mid-Acuity = Steady Demand
                                                                       Mid-Acuity
                                      High Acuity                   (Sustained Need)             Low Acuity
                                     (Acute Need)                                            (Lifestyle Choice)

    Reimbursemen                                                                                                  Cyclicality
     t Risk High                                                                                                  Risk High


                                    Acute Care                Skilled             Assisted             Age
                                     Hospitals                Nursing              Living            Restricted
                                                                         Memory                       Housing
                                                                          Care

                                                   Rehabilitation                      Independent
                                                     Facilities                           Living
Image Source: Wakefield Capital Management, Inc.                                       Communities

        Throughout market cycles, need-driven, mid-acuity healthcare real estate provides
         superior risk-adjusted returns
        Demand for mid-acuity assets is driven by sustained needs
        Mid-acuity real estate assets are less sensitive to economic pressures faced by lower
         acuity, lifestyle-driven properties (independent living and age-restricted housing) that
         are subject to consumer tastes and financial capacity or by higher acuity properties
         (hospitals) with substantial exposure to government reimbursement risk.

        12                                                                                                        1/2/2013
V. Sector Resilience – New Units Supply
   Constrained
The number of new seniors housing units added to the market has declined
substantially since 1998 due to regulatory constraints in existence nationwide and other
barriers to entry, absorption of over-built stock from the late 1990s and recent lack of
available construction financing.




13                                                                               1/2/2013
V. Sector Resilience - Occupancy Rates Steady
   Over Time
Favorable supply and demand dynamics have allowed Assisted Living Facilities to
               historically maintain a steady level of occupancy.

                                                   89   Historical Occupancy Rates for Assisted Living Facilities in U.S.
        Assisted Living Facility Occupancy Rates




                                                   88

                                                   87

                                                   86

                                                   85

                                                   84

                                                   83

                                                   82


  Source: National Investment Center for Seniors Housing

14                                                                                                                          1/2/2013
V. Sector Resilience - Senior Housing Rents
   Less Volatile
                                                                                 Seniors housing
       Apartment        Office    Retail      Hotels        Seniors Housing
 12
                                                                                  is the only major
                                                                                  real estate asset
  8
                                                                                  type that did not
  4
                                                                                  experience a
  0                                                                               decline in asking
 -4                                                                               rents during the
 -8
                                                                                  recent economic
                                                                                  recession.
-12
       2007




                     2008




                                    2009




                                                  2010




                                                                 2011

Source: NIC MAP® Data & Analysis Service; MBAA; REIS; STR




  15                                                                                          1/2/2013
Advising the Senior Housing Community




                      Biographies

                          CensusUp Team



16                                           1/2/2013
CensusUp Management Team
    Sean P. Murphy, Esq. – Executive Chairman
        A Partner and COO at Wakefield Capital Management, Sean also served
         as a principal in a joint venture with NorthStar Realty Finance (NYSE:
         NRF) which acquired, managed and sold (in part) over $750 million in
         seniors housing and healthcare-related real estate. Sean has particular
         expertise in seniors housing real estate transactions and he serves on the
         Board of Directors of the Teresian House Center for the Elderly, a seniors
         housing facility in New York operated by the Carmelite Order. Sean also
         serves as an executive with Fidelity National Financial (Chicago Title
         Insurance Company) and he received his law degree and Masters in Real
         Estate from Georgetown University.
    James Guidera, Jr. – Founder and COO
        With over 25 years of experience in marketing and sales, Jim understands
         how to formulate a compelling message and deliver that message to the
         right audience. Jim has spent the last 4 years focusing on new
         technology-based marketing methodologies. Jim understands the needs
         and trends of senior housing, and how to apply modern marketing and
         sales techniques to the senior housing market.

    17                                                                      1/2/2013
CensusUp Management Team, continued
    Gary Hughes, MAgS, ALFA – Executive Vice President
        Gary has more than 20 years experience working with vulnerable
         populations, especially older adults. His expertise in senior housing is in
         sales/marketing, operations and regulatory compliance. He has served as
         an Executive Director and Director of Community Relations of several
         Assisted Living and Memory Care Facilities on behalf of Sunrise Senior
         Living. He has also been an Assisted Living Executive Director . He has a
         Master’s degree from the UMBC Erickson School of Aging and holds an
         Assisted Living Facility Administrator license.
    E. Brian Alexander, Esq. – Vice President Energy and
     Construction Services and General Counsel
        Brian has close to 20 years of experience in the construction and energy
         efficiency fields. Brian has more than 10 years in healthcare construction
         projects, with particular expertise in project management, building
         mechanical and electrical systems. Brian currently works with developers
         and building owners and operators seeking to construct and operate
         sustainable buildings that use energy in an economically optimal manner.
    18                                                                       1/2/2013
CensusUp Management Team, continued
    Nicholas Park – Vice President Technology Implementation
     and Integration
        Nick has over 25 years of experience working with senior living
         facilities, health care facilities and hotels. He is focused on the seamless
         integration of communication systems and information technology for the
         health and safety of residents and efficiency improvements by staff. Some
         examples of products that he has integrated into senior housing during his
         extensive career include distribution cabling, portable and stationary
         audio/video systems, communication systems, TV systems, and security
         and card access systems (a critical issue in Memory Care Facilities for
         Seniors). Nick is a registered architect with AIA and NCARB. He received
         his MBA from the University of Houston and his Bachelor of Architecture
         from Boston Architectural Center.




    19                                                                        1/2/2013
Advisory Board
    Steve Gurney – Founder of Guide to Retirement Living
     Sourcebook
        The Guide to Retirement Living SourceBook is the most comprehensive
         database of all senior housing, assisted living, nursing homes, home
         health care services, and professional resources in the Mid-Atlantic. Steve
         specializes in working with organizations to develop innovative concepts
         and products to help elders and families understand resources. He is also
         frequently called upon to help organizations better communicate their
         offerings to seniors, families and professionals. Steve has his Masters of
         Management in Aging Services (MAgS), The Erickson School –
         Management, Policy, Aging.




    20                                                                       1/2/2013
Advisory Board
    Nick Lantuh – Former President of NetWitness Corporation
        While at NetWitness, Nick led the sale and merger with EMC Corporation
         in 2011. Prior to this role, Nick was Vice President of the NetWitness
         Product Group, a Division of ManTech International. Nick conveys 18
         years of I/T leadership, fund raising & start up experience, ranging from
         pre-revenue start-ups to Fortune 100. Mr. Lantuh has held leadership
         roles at organizations such as Cisco Systems, as well as pre-revenue
         start-ups in the security, software, wireless and networking spaces leading
         to three acquisitions and an IPO and the recent cash sale to EMC. Nick
         presently advises Census Up and government and business leaders in
         cyber security issues and spoke recently about “Entrepreneurship in
         Disruptive Technologies and Finding the Winning Formula”.




    21                                                                       1/2/2013

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The resilience of seniors housing real estate and the global financial cri…

  • 1. Advising the Senior Housing Community The Resilience of Seniors Housing Real Estate Following the Global Financial Crisis of 2007 – 2008 Presented by Sean Murphy, Executive Chairman, CensusUp 1 1/2/2013
  • 2. I. Thesis  Residential real estate defaults negatively impacted the commercial real estate sector, generally, but seniors housing held its value  Residential real estate bubble peaked in April 2006  Prices began steep fall mid-2006  Bursting of residential real estate bubble:  Produced the Global Financial Crisis (GFC) of 2007-2008  Negatively impacted commercial real estate (CRE) for years to come, both debt and equity capital  Fundamentally changed institutional investors’ allocations to CRE Funds (CREFs)  Caused institutions to retreat to core assets (e.g. Central Business District office in select metro areas) and reduce exposure to other CRE asset classes 2 1/2/2013
  • 3. II. The Residential Real Estate Bubble 2006 Peak to Rapid Crash - No Plateau  US homeownership rate rose substantially between late 90’s and 2006 BUT: Hyper- growth driven by easy credit (i.e., “Subprime Debt”)  Residential Real Estate Bubble: Average US Home Price Nearly Doubled between 1995 – 2005 from approx. $135,000 to approx. $250,000  Buyers’ manic purchasing, particularly by first-time homeowners with sub-standard FICO scores 3 1/2/2013
  • 4. III. The Crash  Buyers sought quick wealth (“flipping”)  Unqualified/ unsophisticated borrowers  Popular Adjustable Rate Mortgages (ARMs) with “teaser rates”  Upon loan re-set: dramatically higher rates and mortgage payments  Widespread belief: real estate prices only rise Manic Buying. Peak. Massive Crash  Misplaced reliance on ease of property refinances 4 1/2/2013
  • 5. III. The Crash: Subprime Meltdown  Massive pools of Residential Mortgage Late 2006 July 2007 Backed Securities (RMBS) and Collateral Debt Obligations (CDO) Subprime defaults rise at alarming MBS/CDOs lose 2003 – 2007 rates most of their value  Late 2006: Subprime For 6 more months, defaults rise ratings agencies New securitizations continue to give dramatically AAA ratings to new MBSs and CDOs vanish  July 2007, Moody’s/ S&P downgrade RMBS 90% of AAA-rated RMBS downgraded & CDOs to junk 5 1/2/2013
  • 6. III: The Crash: Foreclosures Nationwide  The days of easy credit and the residential real estate bubble rapidly morphed into a foreclosure epidemic across the country  Economic models failed – credit rating agencies relied upon erroneous assumptions of very conservative residential loan default rates Source: http://blog.builddirect.com/foreclosure-crisis-what-to-do/ 6 1/2/2013
  • 7. IV. The GFC (“Great Recession”) Crushed Investments  US Stockholders suffered losses of approx. $8 TRILLION during 2008  June 2007 - Sept 2008:  Bear Stearns subprime hedge funds collapsed  Bank of America took over Countrywide due to widespread losses in subprime loans  IndyMac failed and was seized by FDIC  Federal gov’t took over Fannie and Freddie  Lehman Bros. declared bankruptcy  Merrill Lynch forced to be acquired by BoA and sale announced  Fed offered AIG an $85 billion credit line  WaMu failed, seized by the FDIC and sold to JP Morgan Chase  Federal Gov’t used hastily enacted emergency legislation (TARP) 7 1/2/2013
  • 8. IV. Global Financial Crisis Brought Dramatically Lower Transaction Volume  2007 – 2009  88% drop in transaction volume  $359 billion in sales down to $60 billion  CRE property values fell by about one third  EQUAL to the decline of the 1990’s CRE recession BUT in a fraction of the time 8 1/2/2013
  • 9. IV. The GFC: CMBS Nearly Extinct Source: Commercial Real Estate Finance Council (DC Trade Association)  CMBS issuances of approx. $235 billion in 2007 fell to approx. $12 Billion in 2008  Borrowers needing to re-finance were in a very difficult position  Lenders: “extend & pretend”  Very slow improvement over past 3 years - standards have tightened making debt unavailable to many commercial borrowers. 9 1/2/2013
  • 10. IV. The GFC: Maturing CMBS Slowing CRE Market Revival  Brake on CRE market:  restructuring distressed debt delays lending on new projects  Estimate: 60% of CRE maturities Lenders need to deal with problem loans before they can advance additional debt to CRE markets. through 2015 in distress 10 1/2/2013
  • 11. V. Seniors Housing Cyclical Resilience, Unique Demand  Growing Market Demand  Healthcare expenditures are approximately 17% of U.S. GDP and are expected to reach 20% by 2017.(1)  Seniors housing is a highly fragmented market. There are approximately 22,000 seniors housing and nursing care facilities in the U.S. valued between $250Bn and $270Bn.(2)  Seniors population rises as the baby boom ages  Attractive Risk-Adjusted Returns Relative to General Commercial Real Estate Sectors  Conventional real estate assets recently traded at historically low cap rates and many are currently under stress.  Barriers to entry - specific skill set required, regulatory approvals restrict supply, historical lack of institutional capital.  Distinct Performance and Pricing Characteristics  Higher current returns should reduce reliance on terminal values to achieve favorable risk-adjusted total returns.  Financing market for seniors housing has become attractive despite Sources: ongoing stress in the credit markets. 1) Centers for Medicare and Medicaid Services 2) NIC Investment Guide 2012: Investing in Seniors Housing & Care Properties 11 1/2/2013
  • 12. V. Seniors Housing Real Estate Spectrum – Mid-Acuity = Steady Demand Mid-Acuity High Acuity (Sustained Need) Low Acuity (Acute Need) (Lifestyle Choice) Reimbursemen Cyclicality t Risk High Risk High Acute Care Skilled Assisted Age Hospitals Nursing Living Restricted Memory Housing Care Rehabilitation Independent Facilities Living Image Source: Wakefield Capital Management, Inc. Communities  Throughout market cycles, need-driven, mid-acuity healthcare real estate provides superior risk-adjusted returns  Demand for mid-acuity assets is driven by sustained needs  Mid-acuity real estate assets are less sensitive to economic pressures faced by lower acuity, lifestyle-driven properties (independent living and age-restricted housing) that are subject to consumer tastes and financial capacity or by higher acuity properties (hospitals) with substantial exposure to government reimbursement risk. 12 1/2/2013
  • 13. V. Sector Resilience – New Units Supply Constrained The number of new seniors housing units added to the market has declined substantially since 1998 due to regulatory constraints in existence nationwide and other barriers to entry, absorption of over-built stock from the late 1990s and recent lack of available construction financing. 13 1/2/2013
  • 14. V. Sector Resilience - Occupancy Rates Steady Over Time Favorable supply and demand dynamics have allowed Assisted Living Facilities to historically maintain a steady level of occupancy. 89 Historical Occupancy Rates for Assisted Living Facilities in U.S. Assisted Living Facility Occupancy Rates 88 87 86 85 84 83 82 Source: National Investment Center for Seniors Housing 14 1/2/2013
  • 15. V. Sector Resilience - Senior Housing Rents Less Volatile  Seniors housing Apartment Office Retail Hotels Seniors Housing 12 is the only major real estate asset 8 type that did not 4 experience a 0 decline in asking -4 rents during the -8 recent economic recession. -12 2007 2008 2009 2010 2011 Source: NIC MAP® Data & Analysis Service; MBAA; REIS; STR 15 1/2/2013
  • 16. Advising the Senior Housing Community Biographies CensusUp Team 16 1/2/2013
  • 17. CensusUp Management Team  Sean P. Murphy, Esq. – Executive Chairman  A Partner and COO at Wakefield Capital Management, Sean also served as a principal in a joint venture with NorthStar Realty Finance (NYSE: NRF) which acquired, managed and sold (in part) over $750 million in seniors housing and healthcare-related real estate. Sean has particular expertise in seniors housing real estate transactions and he serves on the Board of Directors of the Teresian House Center for the Elderly, a seniors housing facility in New York operated by the Carmelite Order. Sean also serves as an executive with Fidelity National Financial (Chicago Title Insurance Company) and he received his law degree and Masters in Real Estate from Georgetown University.  James Guidera, Jr. – Founder and COO  With over 25 years of experience in marketing and sales, Jim understands how to formulate a compelling message and deliver that message to the right audience. Jim has spent the last 4 years focusing on new technology-based marketing methodologies. Jim understands the needs and trends of senior housing, and how to apply modern marketing and sales techniques to the senior housing market. 17 1/2/2013
  • 18. CensusUp Management Team, continued  Gary Hughes, MAgS, ALFA – Executive Vice President  Gary has more than 20 years experience working with vulnerable populations, especially older adults. His expertise in senior housing is in sales/marketing, operations and regulatory compliance. He has served as an Executive Director and Director of Community Relations of several Assisted Living and Memory Care Facilities on behalf of Sunrise Senior Living. He has also been an Assisted Living Executive Director . He has a Master’s degree from the UMBC Erickson School of Aging and holds an Assisted Living Facility Administrator license.  E. Brian Alexander, Esq. – Vice President Energy and Construction Services and General Counsel  Brian has close to 20 years of experience in the construction and energy efficiency fields. Brian has more than 10 years in healthcare construction projects, with particular expertise in project management, building mechanical and electrical systems. Brian currently works with developers and building owners and operators seeking to construct and operate sustainable buildings that use energy in an economically optimal manner. 18 1/2/2013
  • 19. CensusUp Management Team, continued  Nicholas Park – Vice President Technology Implementation and Integration  Nick has over 25 years of experience working with senior living facilities, health care facilities and hotels. He is focused on the seamless integration of communication systems and information technology for the health and safety of residents and efficiency improvements by staff. Some examples of products that he has integrated into senior housing during his extensive career include distribution cabling, portable and stationary audio/video systems, communication systems, TV systems, and security and card access systems (a critical issue in Memory Care Facilities for Seniors). Nick is a registered architect with AIA and NCARB. He received his MBA from the University of Houston and his Bachelor of Architecture from Boston Architectural Center. 19 1/2/2013
  • 20. Advisory Board  Steve Gurney – Founder of Guide to Retirement Living Sourcebook  The Guide to Retirement Living SourceBook is the most comprehensive database of all senior housing, assisted living, nursing homes, home health care services, and professional resources in the Mid-Atlantic. Steve specializes in working with organizations to develop innovative concepts and products to help elders and families understand resources. He is also frequently called upon to help organizations better communicate their offerings to seniors, families and professionals. Steve has his Masters of Management in Aging Services (MAgS), The Erickson School – Management, Policy, Aging. 20 1/2/2013
  • 21. Advisory Board  Nick Lantuh – Former President of NetWitness Corporation  While at NetWitness, Nick led the sale and merger with EMC Corporation in 2011. Prior to this role, Nick was Vice President of the NetWitness Product Group, a Division of ManTech International. Nick conveys 18 years of I/T leadership, fund raising & start up experience, ranging from pre-revenue start-ups to Fortune 100. Mr. Lantuh has held leadership roles at organizations such as Cisco Systems, as well as pre-revenue start-ups in the security, software, wireless and networking spaces leading to three acquisitions and an IPO and the recent cash sale to EMC. Nick presently advises Census Up and government and business leaders in cyber security issues and spoke recently about “Entrepreneurship in Disruptive Technologies and Finding the Winning Formula”. 21 1/2/2013