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Senior Housing and
Commercial Real Estate Capital:
Drinking from the Same Fountain
           An Overview

   Wisconsin Assisted Living
  CEO Roundtable Discussions
         Sponsored by Direct Supply


 Thursday, August 20, 2009


               Cambridge Realty Capital Companies
    125 South Wacker Drive • 18th Floor • Chicago, Illinois 60606
          Telephone: 312-357-1601 • Fax 312-357-1611 •
                     www.cambridgecap.com
                                                                    1
Senior Housing and
                                                  Commercial Real Estate Capital:
                                                  Drinking from the Same Fountain
                                                             An Overview
                                                         Wisconsin Assisted Living
                                                        CEO Roundtable Discussions
                                                                                  Table of Contents

               Description                                                                                                                                                                  Slide #
        1      Cambridge Overview                                                                                                                                                               3
                        Biographies of Principals                                                                                                                                              4-5
                        Summary of Debt & Equity Capital                                                                                                                                        6
        2      Commercial Real Estate History: 1992 vs. 2009 – Similarities and Differences                                                                                                   7-10
        3      Understanding Senior Housing Lending By Understanding Commercial Real Estate Lending                                                                                          11-13
        4      Profile of Commercial Real Estate Lenders Today                                                                                                                               14-19
        5      Senior Housing vs. Commercial Real Estate – Understanding The Similarities and Differences                                                                                    20-21
        6      Senior Housing Major Capital Funding Options – 2009 and Beyond                                                                                                                22-32
        7      How To Look At Loan And Equity Opportunities As A Capital Provider; Not An Owner / Operator                                                                                   33-40



Disclaimer: This Cambridge financing or investment profile is designed to provide information regarding available real estate capital structures. The information provided herein is
for preliminary review purposes only, and is subject to errors, omissions, and changes, all without notice, or to be held accountable for any changes of this information. In particular,
neither Cambridge Realty Capital Companies, nor Cambridge Realty Capital, LLC, nor Cambridge Investment and Finance, LLC, nor Cambridge Realty Capital Ltd. of Illinois or
any other affiliate makes any warranty or representation whether or not the information presented will be applicable for the readers’ specific situation and the accuracy or
completeness of the information provided. "Cambridge Realty Capital Companies®", "e-Pulse!®" and its logos are registered trademarks of Cambridge Realty Capital, LLC.
                                                                                                                                                                                                      2
Cambridge Overview
•   Cambridge established in 1983, with Senior Housing emphasis
    beginning in 1988
     –   Consists of three firms – Cambridge Realty Capital, LLC – Origination, Underwriting,
         Conventional Lending
     –   Cambridge Realty Capital Ltd. of Illinois – HUD Lending
     –   Cambridge Investment and Finance Company, LLC - Equity Investments and Joint
         Ventures

•   Cambridge’s primary role in the industry
     –   Provide capital using HUD credit enhancement insurance
     –   Facilitate conventional financing on an investment banking basis
     –   Senior Housing acquisition, joint venture, debt or structuring operating leases for nursing
         home owner/operators.

•   Leading industry lender for the last 10 consecutive years for HUD
    232 program
•   $2.75 billion of Senior Housing/Healthcare financing completed for
    over 300 properties
•   Extensive industry experience and relationships



                                                                                                       3
Jeffrey A. Davis
                  President and Chief Executive Officer
                  Cambridge Realty Capital Companies
•   Jeffrey A. Davis is Chairman and Chief Executive Officer for Cambridge Realty Capital Companies, one of the
    nation’s leading senior housing / healthcare financiers, with more than 300 closed senior housing / healthcare debt
    and equity transactions totaling more than $2.75 billion since the 1990s.
•   Mr. Davis is a graduate of the University of Illinois with a degree in finance. He earned a Masters degree in Real
    Estate Investment Analysis and Appraisal from the University of Wisconsin in 1976, and joined Baird & Warner
    Inc., a diversified Chicago-based real estate firm, the same year. In the commercial lending division, he swiftly
    moved up through the ranks to become the youngest Senior Vice President in the 150-year-old real estate
    company‘s history.
•   Mr. Davis founded Cambridge Realty Capital in 1983 as a regional commercial real estate lender and merchant
    banking firm. In 1987, a decision to specialize in senior housing / healthcare financing was made, and the
    company began to expand nationally into new markets. Today, Cambridge has an affiliate office in Los Angeles,
    and correspondent relationships nationwide.
•   The company has underwritten loans in 25 states and has emerged as one of the nation’s leading HUD-232 FHA /
    Lean-approved lenders. Clients also are served by an integrated debt / equity financing strategy that includes
    direct property acquisitions and joint ventures, sale / leasebacks, conventional and mezzanine debt financing, and
    the acquisition of distressed debt. The company offers a wide array of conventional lending options, including
    permanent construction and interim loans on a floating or variable rate basis.
•   Mr. Davis has been active in several professional organizations, including the Urban Land Institute, American
    Health Care Association, American Senior Housing Association, National Association for Senior Living Industry,
    and the Assisted Living Facility Association of America. He is a board member Emeritus for the Center for
    Enriched Living, an after-school activity center for mentally disadvantaged children, and a board member for Meals
    on Wheels Chicago, a not-for-profit organization providing meals to needy seniors, as well as the Holocaust
    Memorial Foundation of Illinois, a not-for-profit organization created to finance and build the world-class Illinois
    Holocaust Museum and Education Center which opened in 2009.
•   Mr. Davis has been quoted in business and industry newspapers and magazines, including National Real Estate
    Investor, Business Week, Chicago Tribune, Chicago Sun-Times, McKnight’s Long-Term Care, Provider,
    Contemporary Long-Term Care, Commercial Property News, Dodge Construction News, Senior Housing Investor
    and numerous other publications.




                                                                                                                           4
Andrew L. Erkes
                Principal and Chief Operating Officer of
                Cambridge Realty Capital Ltd. of Illinois
•   Education: Bachelor of Arts, Finance – University of Illinois, Champaign/Urbana, Illinois 1978.
                 Masters of Business Administration, Finance – Loyola University of Chicago, 1983.
•   Professional: 1985 through Present - Cambridge Realty Capital Ltd. of Illinois, President & Principal
                     FHA Mortgagee 12739 – GNMA Issuer No. 3733 Principal; responsible for all HUD-insured multifamily and
    healthcare loan underwriting, regulatory compliance, construction loan servicing administration, permanent loan servicing
    administration, investor relations and mortgage accounting, and supervision of FHA-approved Mortgagee and GNMA
    Seller/Servicer. Current Servicing Portfolio in excess of $700,000,000.
•   Past Accomplishments: 1978 thru 1985 – Percy Wilson Mortgage and Finance Group,
                          Loan Officer/Vice-President
                          HUD-Insured – Multifamily Lending
•   Overview: Mr. Erkes has spent his entire professional career of 31 years in the business of originating, processing,
    underwriting and servicing HUD-insured multifamily and healthcare loans pursuant to applicable sections of the National
    Housing Act. Mr. Erkes is a MAP Approved Underwriter, a MAP Approved Section 232 Healthcare Underwriter and a
    Section 232 LEAN Approved Underwriter.
•   Mr. Erkes has acted as sole MAP Underwriter for 104 HUD MAP Loans closed since the MAP Program began in 2001. The
    104 MAP Loans total approximately $815,000,000. Of these 104 MAP Loans, 94 of the loans have been for the refinance
    and purchase or sub-rehab or new construction of healthcare facilities pursuant to Section 232 of the National Housing Act,
    totaling $720,000,000 in aggregate MAP healthcare financings.
•   In addition to these 104 MAP Loans, between 1979 and 2001 Mr. Erkes has processed and closed 78 loans pursuant to
    Section 232 of the National Housing Act. These 78 loans totaling approximately $575,000,000 in healthcare financing were
    HUD-Insured Loans utilizing Traditional Processing methods.
•   Mr. Erkes has developed a renowned sub-specialty in the healthcare lending field. Cambridge and Mr. Erkes are recognized
    as nationwide experts in this field, and are often quoted in the country’s leading healthcare journals, including McKnight’s
    Long-Term Care, Nursing Home Magazine, Contemporary Long-Term Care, and Provider magazines. Mr. Erkes has
    spoken on the subject of Section 232 nursing home financing at national conferences, including the National Investment
    Conference and the Assisted Living Federation of America. Cambridge Realty Capital Ltd. of Illinois has continually been
    among the nation’s annual leaders in HUD Section 232 loan originations.
•   Mr. Erkes also participates on the LEAN Transition Committees for Asset Management, assisting HUD in the transition of the
    Section 232 Program from MAP to LEAN. He was among a select few participants chosen by senior HUD executives in
    creating the implementation elements to the LEAN transition and was instrumental in the design of the Asset Management
    procedures for HUD lenders in healthcare financing.



                                                                                                                                   5
Cambridge Realty Capital Companies
      Senior Housing and Healthcare Debt & Equity
                 Financing Programs
                                   — Overview —
Cambridge has four primary senior housing and healthcare debt and equity financing programs.
We have funded and closed over 300 senior housing and healthcare financings totaling in excess
of $2.75 billion. The specifics of the senior housing transaction determines the Cambridge
"basket" and deal pricing and strategy.


                         HUD 232, HUD 232/223(f) and HUD 242
                    Single Facility & Multi-Facility Conventional Debt

                                      Bridge Financing

                      Equity Finance, Joint Venture, Distressed Debt
                                   or Sale / Leasebacks




                                                                                                 6
Commercial Real Estate History,
1992 vs. 2009 – Similarities and Differences
                                 JCR Capital Presentation
                                     Summer 2009
Oversupply vs. Over-leverage: How 2009 is Different From 1992
• Then: 1992
    – In 1992, there was a commercial real estate “oversupply” problem. Banks
      and Savings & Loans created too much new real estate. Due to the loosening of
      regulations on Savings & Loans, many projects were financed on spec, and were
      built and never occupied. In short, commercial real estate was oversupplied.
    – In order to correct this problem, the Federal Government became a “real estate
      liquidator” and called itself the RTC (Resolution Trust Corporation).
•   Now: 2009
    – In 2009, commercial real estate is over-leveraged, not oversupplied. Too
      many properties (while occupied) have debt that can no longer be paid current
      and the underlying loans cannot be repaid at maturity.
    – Assets today could have debt from one or more of the following sources:
        •   Banks
        •   CMBS (Commercial Mortgage Backed Securities)
        •   Insurance companies
        •   Private finance companies
        •   CDO’s (Collateralized Debt Obligations)




                                                                                       7
Commercial Real Estate History,
1992 vs. 2009 – Similarities and Differences
                               JCR Capital Presentation
                                   Summer 2009
The Perfect Storm
• After 15 years of easy credit, commercial real estate is now saddled
  with record amounts of debt. Now the market has changed and four
  key factors will alter commercial real estate finance business for the
  foreseeable future:
    – The capital markets contracted: The majority of real estate capital has
      left the market. Now there is very little capital available, right at the time
      that the massive amounts of debt originated over the last 15 years is
      coming due.
    – Underwriting standards tightened: The debt that is available has much
      more stringent underwriting criteria.
    – The loans that will be approved in the future will have much lower loan
      amounts.
    – Fundamentals have declined: The economic downturn is affecting real
      estate fundamentals. Vacancy has increased, rents have decreased.




                                                                                       8
Commercial Real Estate History,
1992 vs. 2009 – Similarities and Differences
                                 JCR Capital Presentation
                                     Summer 2009
The Results of the Perfect Storm
• This perfect storm will have a material impact on the commercial real estate
  business for years to come.
• Maturity defaults:
     – There is not enough capital in the system to refinance all of the debt coming due.
     – The debt that can be refinanced will require equity infusions to meet the new
       underwriting standards.
•   Term defaults:
     – Some properties can no longer service their principal and interest payments due
       to over-leveraging and declining fundamentals.
•   Owner’s liquidity crunch: Owners of real estate are feeling the pain from all
    sides:
     – More equity to rebalance loans (paydowns)
     – More equity to cover interest shortfalls
     – More equity for property operating expenses, like tenant improvements and
       capital improvements




                                                                                            9
Commercial Real Estate History,
1992 vs. 2009 – Similarities and Differences
                                  JCR Capital Presentation
                                      Summer 2009
•   Lenders: Few Good Options
     –   Lenders have only a few options when dealing with these problems:
     –   Foreclose and own the property
     –   Sell the note at a deep discount
     –   Extend the loan and hope that time cures the problem
•   You Ain’t Seen Nothin’ Yet
     – There is a tsunami of commercial real estate debt coming due, with no place to
       go. This flood of maturities will only depress prices further, as there will be too
       many sellers/refinances and not enough capital.
•   The Numbers: 2010-2013
     – The numbers on future maturities are staggering:
     – Total real estate maturing between 2010-2013: $1.415 trillion
     – Bank loans maturing between 2009-2013: $1.068 trillion
     – Toxic CMBS loans (’05-’07 vintage) maturing between 2009-2013: $112-187
       billion
     – Life company loans maturing between 2009-2013: $100 billion



                                                                                             10
Understanding Senior Housing Lending by
 Understanding Commercial Real Estate Lending
                 Q 10 Capital Markets by Jamie Dicks

• Summary:
   – Commercial real estate downturn relates to jobs,
     lending standards and the cash flow crisis plaguing
     virtually all business.
• First, there are multiple factors causing the continued
  downturn in commercial real estate midway through
  2009.
   – They are headed by the downturn in the overall
     economy, which drives up unemployment, which has
     led to companies creating layoffs, and others going
     out of business completely. Jobs are the key.


                                                            11
Understanding Senior Housing Lending by
    Understanding Commercial Real Estate Lending
                     Q 10 Capital Markets by Jamie Dicks

•   The second factor is lending.
     – The banks are scared of everything after several years of fearing
       nothing.
     – As a result, they have not only tightened standards in reasonable
       ways, but also have driven even good, long-standing clients out
       of the market.
     – Whole storefronts are vacant, and large property management
       conglomerates are struggling to stay afloat.
     – With CMBS associated lending completely shut down, income
       property borrowers must continue to focus on the life insurance,
       bank, credit union and private capital lender sectors for any
       financing needs for the foreseeable future.




                                                                           12
Understanding Senior Housing Lending by
Understanding Commercial Real Estate Lending
                 Q 10 Capital Markets by Jamie Dicks

 – Due to the current (and potentially ongoing) dramatic imbalance
   between capital demand (existing and projected loan maturities)
   and capital supply (lenders/capital in the market), underwriting
   standards are and will continue to be very conservative.
 – Maximum LTV’s (for the very best properties) top out at 65% (will
   be discussed later) of current value, with minimum debt-service-
   coverage hovering in the 1.30 or greater range.
 – In the multifamily property sector, Fannie Mae and Freddie Mac
   continue to be the lender bright spot, though underwriting
   parameters have tightened recently.
 – Banks continue to be under increasing regulatory pressure. In
   2007, a total of 7 banks were taken over by the FDIC. This
   number increased to 23 in 2008. As of today the FDIC has
   already taken over 40 banks this year. Expect many more before
   2009 is done.


                                                                       13
Profile of Commercial Real Estate
              Lenders Today
•   The CMBS (conduit) lending window continues to be completely
    closed.
     – In 2007, $237 billion in loans were funded to income property
        borrowers and then securitized through the Commercial
        Mortgage Backed Securities (CMBS) window. In 2008 this
        dropped to only $12.2 billion.
     – This year, 2009, the number is 0 (Zero) as of today. The last
        securitization of income property loans was completed in June
        2008.
     – The closing of this “window” has resulted in a huge “hole” in the
        commercial real estate capital markets and the results have
        been predictable.




                                                                           14
Profile of Commercial Real Estate
            Lenders Today
• Life Insurance Companies
  – LTV’s continue to top out at 65% of current value (for the very
    best properties & borrowers).
  – But life companies are really looking for loans in the 50% - 60%
    range. 5,7 and 10 year terms are available, with 30 year
    amortizations acceptable for lower LTV requests.




                                                                       15
Profile of Commercial Real Estate
            Lenders Today
• Banks / Credit Unions
  – The banking industry continues to be under significant regulatory
    pressure as the FDIC pays more and more attention to medium
    and small bank balance sheets.
  – With the stabilization of the top 20 banks (who hold 65% of all
    deposits!) near completion, the FDIC now can focus on the
    remaining 8400 banks in the US, if the Top 20 fall in the category
    of “Too Big To Fail”.
  – Needless to say, this results in a VERY conservative
    atmosphere in the lending departments of banks across the
    country.




                                                                         16
Profile of Commercial Real Estate
            Lenders Today
• Fannie Mae / Freddie Mac
  – The brightest spots in the income property lending industry
    continue to be Fannie Mae and Freddie Mac for multifamily
    properties. Will be discussed for Senior Housing later.
  – All-in pricing for new loans is in the 5.75% - 6.25% range
    depending on loan term and requested LTV.
  – Besides lending on multifamily properties, both agencies have
    programs for affordable housing projects, mobile home parks
    and senior housing.
  – Not surprisingly, due to this debt capital availability, values of
    multifamily properties have held up best out of all income
    property types during the last year.




                                                                         17
Profile of Commercial Real Estate
            Lenders Today
• Private Capital
   – Private debt providers continue to grow.
   – Pricing is steep - 10% or greater - and collateral requirements
     expansive, but these lenders can provide borrowers who are
     faced with a significant & immediate financing need, a welcome
     alternative to a more traditional lender.




                                                                       18
Profile of Commercial Real Estate
            Lenders Today
• Bottom Line
  – If you are going to have a financing or refinancing need during
    the last 6 months of this year, start the process now. Given the
    environment, everything is taking longer than has been the case
    for the past 20 years.
  – There are lenders lending money. The underwriting is
    tighter…the price is higher…the terms are tougher…but there
    are lenders lending. But as the year goes on, I expect that there
    will be fewer and fewer as they begin to run out of their 2009
    allocations.
  – If you are a buyer or owner of multifamily, it is a great time to be
    a borrower.
  – If you have a problem with an existing property you own due to
    the property’s debt, do not hesitate to call in outside, expert help.



                                                                            19
Senior Housing vs. Commercial Real Estate –
    Understanding The Similarities and Differences
•   Right now, more than ever, it is important to understand how senior
    housing is perceived in capital markets.

•   In boom times, all senior housing owners want capital markets to
    perceive senior housing as commercial real estate and in times such
    as today, senior housing owners remind capital markets that senior
    housing is a need-based business, totally independent of the rest of
    the economy and recession-resistant.

•   A few similarities and differences exist and are highlighted on the
    following slide.




                                                                           20
Senior Housing vs. Commercial Real Estate –
    Understanding The Similarities and Differences
•   Senior Housing                         •   Commercial Real Estate
     – Need and demand-based                    – Always based on jobs and the
        business                                  economy
     – Serves an elderly population             – Everybody is always an expert
        based on aging in place                 – In all markets, banks became real
     – Aging process is extremely                 estate lenders and grew by leaps
        disruptive to family dynamics             and bounds making real estate
     – Dependant on private pay,                  loans
        Medicaid and Medicare                   – Banks totally abandoned doing
     – Heavily regulated                          commercial industrial loans
     – Very well thought of by everybody        – Over-leverage became passe for
        who’s not in business; how many           banks
        times have you heard how                – Many times, multiple capital layers
        wonderful senior housing is?            – Financing up to 95% – 105% or
     – Never overcapitalized. Up to 80%           greater
        debt
     – Capital markets always
        approached with hesitancy




                                                                                        21
Senior Housing Major Capital Funding
       Options – 2009 and Beyond
• Overview:
  – Senior housing capital, similar to commercial real
    estate, will be constrained throughout 2009 and most
    certainly 2010. Activity will revolve around bridge and
    term lending with commercial banks, Fannie Mae and
    Freddie Mac government agency lending on
    independent living and assisted living buildings, and
    HUD Lean lending on nursing homes and assisted
    living facilities. An overview and summary of each of
    these sectors will be discussed.



                                                              22
Senior Housing Major Capital Funding
       Options – 2009 and Beyond
• Bridge Lending and Term Lending with
  Commercial Banks
  – Continues to be constrained.
  – In some banks, falls under commercial real estate
    and in other banks, falls under senior housing.
  – Will be primarily for existing customers, not new
    customers.
  – Heavily dependent on relationships in place either
    directly with borrower or through intermediary
    representing clients.
  – Will be considerably less aggressive and much less
    user-friendly than in times past.

                                                         23
Senior Housing Major Capital Funding Options – 2009 and Beyond
   Bridge Lending and Term Lending with Commercial Banks
                  CONVENTIONAL BRIDGE LOAN FINANCING
 ACQUISITION / REFINANCE OF CONGREGATE APARTMENTS, INDEPENDENT LIVING ASSISTED
                            LIVING AND NURSING HOMES
LOAN AMOUNT:        $5,000,000 or greater
PROPERTY TYPES:     Long Term Care & Senior Housing Facilities
                    ·   Nursing Homes
                    ·   Assisted Living Facilities / Board and Care Facilities
                    ·   Independent Living Facilities
                    ·   Congregate Retirement Apartments
GEOGRAPHIC          Nationwide
PREFERENCES:
CURRENT RATES:      Contact Cambridge for Current Rates
LOAN FEES:          Negotiated
LOAN TO COST /      65% loan to value / cost advance. Higher ratios will be considered on a case-by-case basis.
VALUE:
LOAN TERM:          24 to 60 months with extension option
TYPES OF LOANS:     · Refinance / acquisition of stabilized properties
                    · Refinance of construction / interim loans
SECURITY:           First mortgage on fee simple real estate and assignment of LLC or partnership interests.
                    Personal recourse preferred. (Non-recourse loans will be available depending on the
                    transaction.) Second mortgage will be considered subject to higher interest rates and other terms
                    and conditions.
SECONDARY           Permitted subject to approval of lender.
FINANCING:
HIGHLIGHTS AND      Ideal for:
APPLICATIONS:       Acquisitions and Refinance
                    Consolidate debt
                    Lower interest rate
                    HUD 232 / 223(f) take outs
                    The borrower should have senior housing / healthcare experience


                                                                                                                        24
Senior Housing Major Capital Funding
       Options – 2009 and Beyond
• Government Agency Lending, a brief
  primer
  – Government agency lending is among the
    primary driving forces in senior housing and
    healthcare finance today. This is primarily
    generated from FHA/HUD Lean and Fannie
    Mae and Freddie Mac. A brief summary of
    the types of financings completed by each
    government agency is highlighted below.


                                                   25
Senior Housing Major Capital Funding
       Options – 2009 and Beyond
• HUD Lean                    • Fannie Mae/Freddie Mac
  – Finances nursing homes      – Do not finance nursing homes
  – Provides rehabilitation     – Do not provide rehabilitation
    and new construction          and new construction
    loans                         loans
  – Does not finance            – Provide financing for
    independent living or         independent living or
    independent senior            independent senior housing
    housing




                                                                  26
Senior Housing Major Capital Funding
            Options – 2009 and Beyond

• Government Agency Lending, A Brief Primer

  Skilled Nursing Facilities (SNF), Assisted Living Facilities (ALF)
  Independent Living Facilities (IL)

                  Refinance      New          Sub            Term               LTV        Facility Type
                              Construction   Rehab


FHA                  X             X          X      Fully Amortizing 35 to   Up to 85%   SNF/ALF
                                                     40 Years                 Refi and
                                                                              90%
                                                                              Const.
Fannie               X                               10 Year/25 Year          Up to 75%   ALF/IL
Mae/Freddie Mac                                      Amortization




                                                                                                           27
Senior Housing Major Capital Funding
          Options – 2009 and Beyond
•   Fannie Mae and Freddie Mac
     – Fannie Mae and Freddie Mac have almost identical programs
       focusing on the existing refinance of independent living, assisted
       living and memory care nursing facilities. Each lender can
       finance multi-use properties including a very small component of
       skilled nursing beds, but each lender is extremely hesitant to
       fund any facility with Medicaid-provided nursing home beds.
     – Each of these lenders is active and a major capital source for
       senior housing today, and have helped keep the housing market
       stabilized for owner / operators and indirectly, senior housing
       residents who require these types of facilities to satisfy and
       address their needs.
     – The basic loan program revolves as follows:




                                                                            28
Senior Housing Major Capital Funding
          Options – 2009 and Beyond
                            Fannie Mae and Freddie Mac
Loan Terms:                               Range from 5-25 years
Eligible Borrowers:                       Experienced owner / operators of
                                          independent living, assisted living, and
                                          memory care facilities
Financing Options:                        Fixed rate, variable rate, bond credit
                                          enhancement, and multiple structures
Maximum Loan to Value:                    75%
Maximum Loan to Cost:                     80%
Amortization:                             Typically 25 years
Debt Service Coverage:                    From 1.35 to 1.75%
Replacement Reserve:                      Yes
Tax and Insurance Escrow:                 Yes
Personal Recourse:                        No
Supplemental Financing:                   Yes
                                                                                     29
Senior Housing Major Capital Funding
          Options – 2009 and Beyond
•   HUD Lean Financing
     – Cambridge Realty Capital Companies, through their subsidiary
       Cambridge Realty Capital Ltd. of Illinois, has become one of the
       nation’s largest HUD 232 lenders. The firm has specialized in
       this product since the early 1990’s. HUD offers a significant
       difference from both Fannie Mae and Freddie Mac, primarily
       highlighted as follows:




                                                                          30
Senior Housing Major Capital Funding Options – 2009 and Beyond
                The basic HUD program is outlined as follows:
    Senior Housing / Healthcare Lending HUD 232 Lean Loan
             Program for Refinance and Acquisition
LOAN AMOUNT:     $2,500,000 to No Maximum
PROPERTY             Senior Housing / Long Term Care                  Behavioral Modification / Other
TYPES:           ·   Nursing Homes - Skilled and                 ·    Behavioral Modification Centers
                     Intermediate Care
                 ·   Assisted Living Facilities                  ·    Psychiatric Hospitals
                 ·   Board and Care Facilities                   ·    Juvenile Behavioral Facilities
                 ·   Personal Care Homes                         ·    Rehab Centers
TIMEFRAME:       60 – 90 days from engagement to close
GEOGRAPHIC       Nationwide
PREFERENCE:
CURRENT          Contact Cambridge for Current Rates
RATES:
TERM AND         35 years
AMORTIZATION:
TYPES OF         ·   Refinance without Rehabilitation        ·       Refinance existing FHA 232 Loan
LOANS:           ·   Refinance with Rehabilitation           ·       Refinance with Expansion
                 ·   Acquisition with Rehabilitation
HIGHLIGHTS:      ·   85% loan-to-value for straight refinance without rehabilitation. (90% for not-for-
                     profit). 80% LTV or less fast track review.
                 ·   Conventional valuation approach using similar appraisal techniques as other
                     lenders
                 ·   1.18 minimum Debt Service Coverage (1.45 for skilled nursing; 1.30 for assisted
                     living; or, 1.25 for independent or board and care facilities or greater for fast track
                     review)
                 ·   Accounts Receivable Financing Permitted.
                 ·   Up to 100% loan-to-cost for refinancing/rehabilitation.
                 ·   Fully assumable.
                 ·   No personal liability.
                                                                                                               31
Senior Housing Major Capital Funding
      Options – 2009 and Beyond
• HUD Frequently Asked Questions
  – HUD Lean Primer
    • Discuss HUD Lean
    • Discuss Advantages of HUD Lean
    • See Handout




                                         32
How To Look At Loan And Equity Opportunities As
  A Capital Provider; Not An Owner / Operator


• Introduction: Issues for Owners to consider when going on Capital
  Pursuit
    – Underwriting issues
    – Documents to have available
    – How to present to lenders and equity investors
    – Decision/deal points
    – Key factors that determine financial success
    – Summary and conclusion




                                                                      33
How To Look At Loan And Equity Opportunities As
  A Capital Provider; Not An Owner / Operator
•   Key Underwriting Issues Facing Lenders And Investors
     – Loan to value ratio
     – Debt service coverage ratios
     – Feasibility / need analysis
     – Equity requirements
     – Deal structure
     – Collateral / security
     – Operator track records
     – Timing requirements
     – Exit strategy for lender & borrower
     – Credit analysis



                                                           34
How To Look At Loan And Equity Opportunities As
  A Capital Provider; Not An Owner / Operator

•   Documents Needed For Financing
     – Business plan
     – Market feasibility study
     – Financial forecasts / financials
     – Qualifications of principals
     – Sources & uses of funds
     – Title report
     – Exit strategy




                                                  35
How To Look At Loan And Equity Opportunities As
  A Capital Provider; Not An Owner / Operator
•   Presentation To Lenders
     – Be prepared
     – Know your audience
     – Respond quickly to lenders’ documentation requests – provide
       information & documentation in timely fashion
     – Get your third-party studies done by accepted & approved
       consultants
     – Understand their type of financing & their hot buttons
     – Understand the lender’s background & be prepared to educate
       when necessary
     – Know your project
     – Get representation if needed
     – Insurance

                                                                      36
How To Look At Loan And Equity Opportunities As
  A Capital Provider; Not An Owner / Operator

•   Financing Decision Points
     – Timing
     – Recourse or Non-Recourse
     – Leverage
     – Structure
     – Time horizon / exit strategy
     – Covenants & reporting requirements
     – Rate / pricing




                                                  37
How To Look At Loan And Equity Opportunities As
  A Capital Provider; Not An Owner / Operator
•   Factors Determining Financing Success
     – Market
         • Demographics
         • Upcoming projects
         • Competition
         • Regulatory environment
         • Project positioning
     – Management
         • Direct industry experience
         • Depth & reputation
         • Adaptability
         • Historic operating performance


                                                  38
How To Look At Loan And Equity Opportunities As
  A Capital Provider; Not An Owner / Operator
•   Factors Determining Financing Success
     – Collateral
         • Physical plant
         • Marketability
         • Location
         • External forces
     – Structure
         • Financing requirements
         • Liquidity & default risk
         • Recourse or Non-Recourse
         • Upfront and long-term costs



                                                  39
How To Look At Loan And Equity Opportunities As
  A Capital Provider; Not An Owner / Operator

•   Summary and Conclusion




                                                  40
•   P:ProjectsKatieCEO Roundtable PresentationCEO Roundtable jad update.v3.ppt




                                                                                     41

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Senior Housing and Commercial Real Estate Capital: Drinking from the Same Fountain An Overview

  • 1. Senior Housing and Commercial Real Estate Capital: Drinking from the Same Fountain An Overview Wisconsin Assisted Living CEO Roundtable Discussions Sponsored by Direct Supply Thursday, August 20, 2009 Cambridge Realty Capital Companies 125 South Wacker Drive • 18th Floor • Chicago, Illinois 60606 Telephone: 312-357-1601 • Fax 312-357-1611 • www.cambridgecap.com 1
  • 2. Senior Housing and Commercial Real Estate Capital: Drinking from the Same Fountain An Overview Wisconsin Assisted Living CEO Roundtable Discussions Table of Contents Description Slide # 1 Cambridge Overview 3 Biographies of Principals 4-5 Summary of Debt & Equity Capital 6 2 Commercial Real Estate History: 1992 vs. 2009 – Similarities and Differences 7-10 3 Understanding Senior Housing Lending By Understanding Commercial Real Estate Lending 11-13 4 Profile of Commercial Real Estate Lenders Today 14-19 5 Senior Housing vs. Commercial Real Estate – Understanding The Similarities and Differences 20-21 6 Senior Housing Major Capital Funding Options – 2009 and Beyond 22-32 7 How To Look At Loan And Equity Opportunities As A Capital Provider; Not An Owner / Operator 33-40 Disclaimer: This Cambridge financing or investment profile is designed to provide information regarding available real estate capital structures. The information provided herein is for preliminary review purposes only, and is subject to errors, omissions, and changes, all without notice, or to be held accountable for any changes of this information. In particular, neither Cambridge Realty Capital Companies, nor Cambridge Realty Capital, LLC, nor Cambridge Investment and Finance, LLC, nor Cambridge Realty Capital Ltd. of Illinois or any other affiliate makes any warranty or representation whether or not the information presented will be applicable for the readers’ specific situation and the accuracy or completeness of the information provided. "Cambridge Realty Capital Companies®", "e-Pulse!®" and its logos are registered trademarks of Cambridge Realty Capital, LLC. 2
  • 3. Cambridge Overview • Cambridge established in 1983, with Senior Housing emphasis beginning in 1988 – Consists of three firms – Cambridge Realty Capital, LLC – Origination, Underwriting, Conventional Lending – Cambridge Realty Capital Ltd. of Illinois – HUD Lending – Cambridge Investment and Finance Company, LLC - Equity Investments and Joint Ventures • Cambridge’s primary role in the industry – Provide capital using HUD credit enhancement insurance – Facilitate conventional financing on an investment banking basis – Senior Housing acquisition, joint venture, debt or structuring operating leases for nursing home owner/operators. • Leading industry lender for the last 10 consecutive years for HUD 232 program • $2.75 billion of Senior Housing/Healthcare financing completed for over 300 properties • Extensive industry experience and relationships 3
  • 4. Jeffrey A. Davis President and Chief Executive Officer Cambridge Realty Capital Companies • Jeffrey A. Davis is Chairman and Chief Executive Officer for Cambridge Realty Capital Companies, one of the nation’s leading senior housing / healthcare financiers, with more than 300 closed senior housing / healthcare debt and equity transactions totaling more than $2.75 billion since the 1990s. • Mr. Davis is a graduate of the University of Illinois with a degree in finance. He earned a Masters degree in Real Estate Investment Analysis and Appraisal from the University of Wisconsin in 1976, and joined Baird & Warner Inc., a diversified Chicago-based real estate firm, the same year. In the commercial lending division, he swiftly moved up through the ranks to become the youngest Senior Vice President in the 150-year-old real estate company‘s history. • Mr. Davis founded Cambridge Realty Capital in 1983 as a regional commercial real estate lender and merchant banking firm. In 1987, a decision to specialize in senior housing / healthcare financing was made, and the company began to expand nationally into new markets. Today, Cambridge has an affiliate office in Los Angeles, and correspondent relationships nationwide. • The company has underwritten loans in 25 states and has emerged as one of the nation’s leading HUD-232 FHA / Lean-approved lenders. Clients also are served by an integrated debt / equity financing strategy that includes direct property acquisitions and joint ventures, sale / leasebacks, conventional and mezzanine debt financing, and the acquisition of distressed debt. The company offers a wide array of conventional lending options, including permanent construction and interim loans on a floating or variable rate basis. • Mr. Davis has been active in several professional organizations, including the Urban Land Institute, American Health Care Association, American Senior Housing Association, National Association for Senior Living Industry, and the Assisted Living Facility Association of America. He is a board member Emeritus for the Center for Enriched Living, an after-school activity center for mentally disadvantaged children, and a board member for Meals on Wheels Chicago, a not-for-profit organization providing meals to needy seniors, as well as the Holocaust Memorial Foundation of Illinois, a not-for-profit organization created to finance and build the world-class Illinois Holocaust Museum and Education Center which opened in 2009. • Mr. Davis has been quoted in business and industry newspapers and magazines, including National Real Estate Investor, Business Week, Chicago Tribune, Chicago Sun-Times, McKnight’s Long-Term Care, Provider, Contemporary Long-Term Care, Commercial Property News, Dodge Construction News, Senior Housing Investor and numerous other publications. 4
  • 5. Andrew L. Erkes Principal and Chief Operating Officer of Cambridge Realty Capital Ltd. of Illinois • Education: Bachelor of Arts, Finance – University of Illinois, Champaign/Urbana, Illinois 1978. Masters of Business Administration, Finance – Loyola University of Chicago, 1983. • Professional: 1985 through Present - Cambridge Realty Capital Ltd. of Illinois, President & Principal FHA Mortgagee 12739 – GNMA Issuer No. 3733 Principal; responsible for all HUD-insured multifamily and healthcare loan underwriting, regulatory compliance, construction loan servicing administration, permanent loan servicing administration, investor relations and mortgage accounting, and supervision of FHA-approved Mortgagee and GNMA Seller/Servicer. Current Servicing Portfolio in excess of $700,000,000. • Past Accomplishments: 1978 thru 1985 – Percy Wilson Mortgage and Finance Group, Loan Officer/Vice-President HUD-Insured – Multifamily Lending • Overview: Mr. Erkes has spent his entire professional career of 31 years in the business of originating, processing, underwriting and servicing HUD-insured multifamily and healthcare loans pursuant to applicable sections of the National Housing Act. Mr. Erkes is a MAP Approved Underwriter, a MAP Approved Section 232 Healthcare Underwriter and a Section 232 LEAN Approved Underwriter. • Mr. Erkes has acted as sole MAP Underwriter for 104 HUD MAP Loans closed since the MAP Program began in 2001. The 104 MAP Loans total approximately $815,000,000. Of these 104 MAP Loans, 94 of the loans have been for the refinance and purchase or sub-rehab or new construction of healthcare facilities pursuant to Section 232 of the National Housing Act, totaling $720,000,000 in aggregate MAP healthcare financings. • In addition to these 104 MAP Loans, between 1979 and 2001 Mr. Erkes has processed and closed 78 loans pursuant to Section 232 of the National Housing Act. These 78 loans totaling approximately $575,000,000 in healthcare financing were HUD-Insured Loans utilizing Traditional Processing methods. • Mr. Erkes has developed a renowned sub-specialty in the healthcare lending field. Cambridge and Mr. Erkes are recognized as nationwide experts in this field, and are often quoted in the country’s leading healthcare journals, including McKnight’s Long-Term Care, Nursing Home Magazine, Contemporary Long-Term Care, and Provider magazines. Mr. Erkes has spoken on the subject of Section 232 nursing home financing at national conferences, including the National Investment Conference and the Assisted Living Federation of America. Cambridge Realty Capital Ltd. of Illinois has continually been among the nation’s annual leaders in HUD Section 232 loan originations. • Mr. Erkes also participates on the LEAN Transition Committees for Asset Management, assisting HUD in the transition of the Section 232 Program from MAP to LEAN. He was among a select few participants chosen by senior HUD executives in creating the implementation elements to the LEAN transition and was instrumental in the design of the Asset Management procedures for HUD lenders in healthcare financing. 5
  • 6. Cambridge Realty Capital Companies Senior Housing and Healthcare Debt & Equity Financing Programs — Overview — Cambridge has four primary senior housing and healthcare debt and equity financing programs. We have funded and closed over 300 senior housing and healthcare financings totaling in excess of $2.75 billion. The specifics of the senior housing transaction determines the Cambridge "basket" and deal pricing and strategy. HUD 232, HUD 232/223(f) and HUD 242 Single Facility & Multi-Facility Conventional Debt Bridge Financing Equity Finance, Joint Venture, Distressed Debt or Sale / Leasebacks 6
  • 7. Commercial Real Estate History, 1992 vs. 2009 – Similarities and Differences JCR Capital Presentation Summer 2009 Oversupply vs. Over-leverage: How 2009 is Different From 1992 • Then: 1992 – In 1992, there was a commercial real estate “oversupply” problem. Banks and Savings & Loans created too much new real estate. Due to the loosening of regulations on Savings & Loans, many projects were financed on spec, and were built and never occupied. In short, commercial real estate was oversupplied. – In order to correct this problem, the Federal Government became a “real estate liquidator” and called itself the RTC (Resolution Trust Corporation). • Now: 2009 – In 2009, commercial real estate is over-leveraged, not oversupplied. Too many properties (while occupied) have debt that can no longer be paid current and the underlying loans cannot be repaid at maturity. – Assets today could have debt from one or more of the following sources: • Banks • CMBS (Commercial Mortgage Backed Securities) • Insurance companies • Private finance companies • CDO’s (Collateralized Debt Obligations) 7
  • 8. Commercial Real Estate History, 1992 vs. 2009 – Similarities and Differences JCR Capital Presentation Summer 2009 The Perfect Storm • After 15 years of easy credit, commercial real estate is now saddled with record amounts of debt. Now the market has changed and four key factors will alter commercial real estate finance business for the foreseeable future: – The capital markets contracted: The majority of real estate capital has left the market. Now there is very little capital available, right at the time that the massive amounts of debt originated over the last 15 years is coming due. – Underwriting standards tightened: The debt that is available has much more stringent underwriting criteria. – The loans that will be approved in the future will have much lower loan amounts. – Fundamentals have declined: The economic downturn is affecting real estate fundamentals. Vacancy has increased, rents have decreased. 8
  • 9. Commercial Real Estate History, 1992 vs. 2009 – Similarities and Differences JCR Capital Presentation Summer 2009 The Results of the Perfect Storm • This perfect storm will have a material impact on the commercial real estate business for years to come. • Maturity defaults: – There is not enough capital in the system to refinance all of the debt coming due. – The debt that can be refinanced will require equity infusions to meet the new underwriting standards. • Term defaults: – Some properties can no longer service their principal and interest payments due to over-leveraging and declining fundamentals. • Owner’s liquidity crunch: Owners of real estate are feeling the pain from all sides: – More equity to rebalance loans (paydowns) – More equity to cover interest shortfalls – More equity for property operating expenses, like tenant improvements and capital improvements 9
  • 10. Commercial Real Estate History, 1992 vs. 2009 – Similarities and Differences JCR Capital Presentation Summer 2009 • Lenders: Few Good Options – Lenders have only a few options when dealing with these problems: – Foreclose and own the property – Sell the note at a deep discount – Extend the loan and hope that time cures the problem • You Ain’t Seen Nothin’ Yet – There is a tsunami of commercial real estate debt coming due, with no place to go. This flood of maturities will only depress prices further, as there will be too many sellers/refinances and not enough capital. • The Numbers: 2010-2013 – The numbers on future maturities are staggering: – Total real estate maturing between 2010-2013: $1.415 trillion – Bank loans maturing between 2009-2013: $1.068 trillion – Toxic CMBS loans (’05-’07 vintage) maturing between 2009-2013: $112-187 billion – Life company loans maturing between 2009-2013: $100 billion 10
  • 11. Understanding Senior Housing Lending by Understanding Commercial Real Estate Lending Q 10 Capital Markets by Jamie Dicks • Summary: – Commercial real estate downturn relates to jobs, lending standards and the cash flow crisis plaguing virtually all business. • First, there are multiple factors causing the continued downturn in commercial real estate midway through 2009. – They are headed by the downturn in the overall economy, which drives up unemployment, which has led to companies creating layoffs, and others going out of business completely. Jobs are the key. 11
  • 12. Understanding Senior Housing Lending by Understanding Commercial Real Estate Lending Q 10 Capital Markets by Jamie Dicks • The second factor is lending. – The banks are scared of everything after several years of fearing nothing. – As a result, they have not only tightened standards in reasonable ways, but also have driven even good, long-standing clients out of the market. – Whole storefronts are vacant, and large property management conglomerates are struggling to stay afloat. – With CMBS associated lending completely shut down, income property borrowers must continue to focus on the life insurance, bank, credit union and private capital lender sectors for any financing needs for the foreseeable future. 12
  • 13. Understanding Senior Housing Lending by Understanding Commercial Real Estate Lending Q 10 Capital Markets by Jamie Dicks – Due to the current (and potentially ongoing) dramatic imbalance between capital demand (existing and projected loan maturities) and capital supply (lenders/capital in the market), underwriting standards are and will continue to be very conservative. – Maximum LTV’s (for the very best properties) top out at 65% (will be discussed later) of current value, with minimum debt-service- coverage hovering in the 1.30 or greater range. – In the multifamily property sector, Fannie Mae and Freddie Mac continue to be the lender bright spot, though underwriting parameters have tightened recently. – Banks continue to be under increasing regulatory pressure. In 2007, a total of 7 banks were taken over by the FDIC. This number increased to 23 in 2008. As of today the FDIC has already taken over 40 banks this year. Expect many more before 2009 is done. 13
  • 14. Profile of Commercial Real Estate Lenders Today • The CMBS (conduit) lending window continues to be completely closed. – In 2007, $237 billion in loans were funded to income property borrowers and then securitized through the Commercial Mortgage Backed Securities (CMBS) window. In 2008 this dropped to only $12.2 billion. – This year, 2009, the number is 0 (Zero) as of today. The last securitization of income property loans was completed in June 2008. – The closing of this “window” has resulted in a huge “hole” in the commercial real estate capital markets and the results have been predictable. 14
  • 15. Profile of Commercial Real Estate Lenders Today • Life Insurance Companies – LTV’s continue to top out at 65% of current value (for the very best properties & borrowers). – But life companies are really looking for loans in the 50% - 60% range. 5,7 and 10 year terms are available, with 30 year amortizations acceptable for lower LTV requests. 15
  • 16. Profile of Commercial Real Estate Lenders Today • Banks / Credit Unions – The banking industry continues to be under significant regulatory pressure as the FDIC pays more and more attention to medium and small bank balance sheets. – With the stabilization of the top 20 banks (who hold 65% of all deposits!) near completion, the FDIC now can focus on the remaining 8400 banks in the US, if the Top 20 fall in the category of “Too Big To Fail”. – Needless to say, this results in a VERY conservative atmosphere in the lending departments of banks across the country. 16
  • 17. Profile of Commercial Real Estate Lenders Today • Fannie Mae / Freddie Mac – The brightest spots in the income property lending industry continue to be Fannie Mae and Freddie Mac for multifamily properties. Will be discussed for Senior Housing later. – All-in pricing for new loans is in the 5.75% - 6.25% range depending on loan term and requested LTV. – Besides lending on multifamily properties, both agencies have programs for affordable housing projects, mobile home parks and senior housing. – Not surprisingly, due to this debt capital availability, values of multifamily properties have held up best out of all income property types during the last year. 17
  • 18. Profile of Commercial Real Estate Lenders Today • Private Capital – Private debt providers continue to grow. – Pricing is steep - 10% or greater - and collateral requirements expansive, but these lenders can provide borrowers who are faced with a significant & immediate financing need, a welcome alternative to a more traditional lender. 18
  • 19. Profile of Commercial Real Estate Lenders Today • Bottom Line – If you are going to have a financing or refinancing need during the last 6 months of this year, start the process now. Given the environment, everything is taking longer than has been the case for the past 20 years. – There are lenders lending money. The underwriting is tighter…the price is higher…the terms are tougher…but there are lenders lending. But as the year goes on, I expect that there will be fewer and fewer as they begin to run out of their 2009 allocations. – If you are a buyer or owner of multifamily, it is a great time to be a borrower. – If you have a problem with an existing property you own due to the property’s debt, do not hesitate to call in outside, expert help. 19
  • 20. Senior Housing vs. Commercial Real Estate – Understanding The Similarities and Differences • Right now, more than ever, it is important to understand how senior housing is perceived in capital markets. • In boom times, all senior housing owners want capital markets to perceive senior housing as commercial real estate and in times such as today, senior housing owners remind capital markets that senior housing is a need-based business, totally independent of the rest of the economy and recession-resistant. • A few similarities and differences exist and are highlighted on the following slide. 20
  • 21. Senior Housing vs. Commercial Real Estate – Understanding The Similarities and Differences • Senior Housing • Commercial Real Estate – Need and demand-based – Always based on jobs and the business economy – Serves an elderly population – Everybody is always an expert based on aging in place – In all markets, banks became real – Aging process is extremely estate lenders and grew by leaps disruptive to family dynamics and bounds making real estate – Dependant on private pay, loans Medicaid and Medicare – Banks totally abandoned doing – Heavily regulated commercial industrial loans – Very well thought of by everybody – Over-leverage became passe for who’s not in business; how many banks times have you heard how – Many times, multiple capital layers wonderful senior housing is? – Financing up to 95% – 105% or – Never overcapitalized. Up to 80% greater debt – Capital markets always approached with hesitancy 21
  • 22. Senior Housing Major Capital Funding Options – 2009 and Beyond • Overview: – Senior housing capital, similar to commercial real estate, will be constrained throughout 2009 and most certainly 2010. Activity will revolve around bridge and term lending with commercial banks, Fannie Mae and Freddie Mac government agency lending on independent living and assisted living buildings, and HUD Lean lending on nursing homes and assisted living facilities. An overview and summary of each of these sectors will be discussed. 22
  • 23. Senior Housing Major Capital Funding Options – 2009 and Beyond • Bridge Lending and Term Lending with Commercial Banks – Continues to be constrained. – In some banks, falls under commercial real estate and in other banks, falls under senior housing. – Will be primarily for existing customers, not new customers. – Heavily dependent on relationships in place either directly with borrower or through intermediary representing clients. – Will be considerably less aggressive and much less user-friendly than in times past. 23
  • 24. Senior Housing Major Capital Funding Options – 2009 and Beyond Bridge Lending and Term Lending with Commercial Banks CONVENTIONAL BRIDGE LOAN FINANCING ACQUISITION / REFINANCE OF CONGREGATE APARTMENTS, INDEPENDENT LIVING ASSISTED LIVING AND NURSING HOMES LOAN AMOUNT: $5,000,000 or greater PROPERTY TYPES: Long Term Care & Senior Housing Facilities · Nursing Homes · Assisted Living Facilities / Board and Care Facilities · Independent Living Facilities · Congregate Retirement Apartments GEOGRAPHIC Nationwide PREFERENCES: CURRENT RATES: Contact Cambridge for Current Rates LOAN FEES: Negotiated LOAN TO COST / 65% loan to value / cost advance. Higher ratios will be considered on a case-by-case basis. VALUE: LOAN TERM: 24 to 60 months with extension option TYPES OF LOANS: · Refinance / acquisition of stabilized properties · Refinance of construction / interim loans SECURITY: First mortgage on fee simple real estate and assignment of LLC or partnership interests. Personal recourse preferred. (Non-recourse loans will be available depending on the transaction.) Second mortgage will be considered subject to higher interest rates and other terms and conditions. SECONDARY Permitted subject to approval of lender. FINANCING: HIGHLIGHTS AND Ideal for: APPLICATIONS: Acquisitions and Refinance Consolidate debt Lower interest rate HUD 232 / 223(f) take outs The borrower should have senior housing / healthcare experience 24
  • 25. Senior Housing Major Capital Funding Options – 2009 and Beyond • Government Agency Lending, a brief primer – Government agency lending is among the primary driving forces in senior housing and healthcare finance today. This is primarily generated from FHA/HUD Lean and Fannie Mae and Freddie Mac. A brief summary of the types of financings completed by each government agency is highlighted below. 25
  • 26. Senior Housing Major Capital Funding Options – 2009 and Beyond • HUD Lean • Fannie Mae/Freddie Mac – Finances nursing homes – Do not finance nursing homes – Provides rehabilitation – Do not provide rehabilitation and new construction and new construction loans loans – Does not finance – Provide financing for independent living or independent living or independent senior independent senior housing housing 26
  • 27. Senior Housing Major Capital Funding Options – 2009 and Beyond • Government Agency Lending, A Brief Primer Skilled Nursing Facilities (SNF), Assisted Living Facilities (ALF) Independent Living Facilities (IL) Refinance New Sub Term LTV Facility Type Construction Rehab FHA X X X Fully Amortizing 35 to Up to 85% SNF/ALF 40 Years Refi and 90% Const. Fannie X 10 Year/25 Year Up to 75% ALF/IL Mae/Freddie Mac Amortization 27
  • 28. Senior Housing Major Capital Funding Options – 2009 and Beyond • Fannie Mae and Freddie Mac – Fannie Mae and Freddie Mac have almost identical programs focusing on the existing refinance of independent living, assisted living and memory care nursing facilities. Each lender can finance multi-use properties including a very small component of skilled nursing beds, but each lender is extremely hesitant to fund any facility with Medicaid-provided nursing home beds. – Each of these lenders is active and a major capital source for senior housing today, and have helped keep the housing market stabilized for owner / operators and indirectly, senior housing residents who require these types of facilities to satisfy and address their needs. – The basic loan program revolves as follows: 28
  • 29. Senior Housing Major Capital Funding Options – 2009 and Beyond Fannie Mae and Freddie Mac Loan Terms: Range from 5-25 years Eligible Borrowers: Experienced owner / operators of independent living, assisted living, and memory care facilities Financing Options: Fixed rate, variable rate, bond credit enhancement, and multiple structures Maximum Loan to Value: 75% Maximum Loan to Cost: 80% Amortization: Typically 25 years Debt Service Coverage: From 1.35 to 1.75% Replacement Reserve: Yes Tax and Insurance Escrow: Yes Personal Recourse: No Supplemental Financing: Yes 29
  • 30. Senior Housing Major Capital Funding Options – 2009 and Beyond • HUD Lean Financing – Cambridge Realty Capital Companies, through their subsidiary Cambridge Realty Capital Ltd. of Illinois, has become one of the nation’s largest HUD 232 lenders. The firm has specialized in this product since the early 1990’s. HUD offers a significant difference from both Fannie Mae and Freddie Mac, primarily highlighted as follows: 30
  • 31. Senior Housing Major Capital Funding Options – 2009 and Beyond The basic HUD program is outlined as follows: Senior Housing / Healthcare Lending HUD 232 Lean Loan Program for Refinance and Acquisition LOAN AMOUNT: $2,500,000 to No Maximum PROPERTY Senior Housing / Long Term Care Behavioral Modification / Other TYPES: · Nursing Homes - Skilled and · Behavioral Modification Centers Intermediate Care · Assisted Living Facilities · Psychiatric Hospitals · Board and Care Facilities · Juvenile Behavioral Facilities · Personal Care Homes · Rehab Centers TIMEFRAME: 60 – 90 days from engagement to close GEOGRAPHIC Nationwide PREFERENCE: CURRENT Contact Cambridge for Current Rates RATES: TERM AND 35 years AMORTIZATION: TYPES OF · Refinance without Rehabilitation · Refinance existing FHA 232 Loan LOANS: · Refinance with Rehabilitation · Refinance with Expansion · Acquisition with Rehabilitation HIGHLIGHTS: · 85% loan-to-value for straight refinance without rehabilitation. (90% for not-for- profit). 80% LTV or less fast track review. · Conventional valuation approach using similar appraisal techniques as other lenders · 1.18 minimum Debt Service Coverage (1.45 for skilled nursing; 1.30 for assisted living; or, 1.25 for independent or board and care facilities or greater for fast track review) · Accounts Receivable Financing Permitted. · Up to 100% loan-to-cost for refinancing/rehabilitation. · Fully assumable. · No personal liability. 31
  • 32. Senior Housing Major Capital Funding Options – 2009 and Beyond • HUD Frequently Asked Questions – HUD Lean Primer • Discuss HUD Lean • Discuss Advantages of HUD Lean • See Handout 32
  • 33. How To Look At Loan And Equity Opportunities As A Capital Provider; Not An Owner / Operator • Introduction: Issues for Owners to consider when going on Capital Pursuit – Underwriting issues – Documents to have available – How to present to lenders and equity investors – Decision/deal points – Key factors that determine financial success – Summary and conclusion 33
  • 34. How To Look At Loan And Equity Opportunities As A Capital Provider; Not An Owner / Operator • Key Underwriting Issues Facing Lenders And Investors – Loan to value ratio – Debt service coverage ratios – Feasibility / need analysis – Equity requirements – Deal structure – Collateral / security – Operator track records – Timing requirements – Exit strategy for lender & borrower – Credit analysis 34
  • 35. How To Look At Loan And Equity Opportunities As A Capital Provider; Not An Owner / Operator • Documents Needed For Financing – Business plan – Market feasibility study – Financial forecasts / financials – Qualifications of principals – Sources & uses of funds – Title report – Exit strategy 35
  • 36. How To Look At Loan And Equity Opportunities As A Capital Provider; Not An Owner / Operator • Presentation To Lenders – Be prepared – Know your audience – Respond quickly to lenders’ documentation requests – provide information & documentation in timely fashion – Get your third-party studies done by accepted & approved consultants – Understand their type of financing & their hot buttons – Understand the lender’s background & be prepared to educate when necessary – Know your project – Get representation if needed – Insurance 36
  • 37. How To Look At Loan And Equity Opportunities As A Capital Provider; Not An Owner / Operator • Financing Decision Points – Timing – Recourse or Non-Recourse – Leverage – Structure – Time horizon / exit strategy – Covenants & reporting requirements – Rate / pricing 37
  • 38. How To Look At Loan And Equity Opportunities As A Capital Provider; Not An Owner / Operator • Factors Determining Financing Success – Market • Demographics • Upcoming projects • Competition • Regulatory environment • Project positioning – Management • Direct industry experience • Depth & reputation • Adaptability • Historic operating performance 38
  • 39. How To Look At Loan And Equity Opportunities As A Capital Provider; Not An Owner / Operator • Factors Determining Financing Success – Collateral • Physical plant • Marketability • Location • External forces – Structure • Financing requirements • Liquidity & default risk • Recourse or Non-Recourse • Upfront and long-term costs 39
  • 40. How To Look At Loan And Equity Opportunities As A Capital Provider; Not An Owner / Operator • Summary and Conclusion 40
  • 41. P:ProjectsKatieCEO Roundtable PresentationCEO Roundtable jad update.v3.ppt 41