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Major healthcare facilities operator files Chapter 11 bankruptcy

50-year-old nursing home operator files Chapter 11 bankruptcy after defaulting on over $50 million in loans.

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Operators of nursing homes and senior living facilities were severely impacted during the Covid-19 pandemic in 2020 as about 40% of residents had or likely had Covid-19 that year and over 1,300 nursing homes had infection rates of 75% or higher during surge periods, the U.S. Department of Health and Human Services Office of the Inspector General reported.

The high infection rates led to severe staffing challenges, including significant loss of staff and substantial difficulties in hiring, training and retraining new staff, according to a February 2024 report. Those staffing challenges, however, continue today, as rising inflation makes it more expensive to compensate these essential workers.

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In addition to staffing challenges, operators have also faced a number of economic issues that have driven some of these companies to file for bankruptcy or, in some cases, shut down facilities. Rising inflation, which affects products, supplies and employee wages, and higher interest rates over the past couple years have severely impacted operators' budgets. On top of those economic issues, operators are battling inadequate Medicare, Medicaid and insurance reimbursements that can lead to capital shortfalls.

Senior care facility bankruptcies rise

Financial hardship has led dozens of operators of senior facilities to file for bankruptcy over the past three years, with 13 companies filing petitions in 2021, 12 debtors filing in 2022 and 15 more in 2023, according to Gibbins Advisors.

Notable Chapter 11 filings over the past year have included Evangelical Retirement Homes of Greater Chicago, which filed Chapter 11 in the U.S. Bankruptcy Court for the Northern District of Illinois in June 2023 to sell its assets at auction. Also, Windsor Terrace Health, an operator of 32 nursing homes in California and three in Arizona, filed its petition in the U.S. Bankruptcy Court for the Central District of California in August 2023 listing $1 million to $10 million in assets and liabilities and unable to pay its debts.

More recently, Magnolia Senior Living, an operator of four facilities in Georgia, filed for Chapter 11 protection on March. 19 in the U.S. Bankruptcy Court for the Northern District of Georgia.

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Loan defaults, ransomware attack force Petersen into bankruptcy 

Finally, Petersen Health Care, operator of about 100 nursing homes, assisted-living and long-term care facilities in Illinois, Iowa and Missouri, filed for Chapter 11 bankruptcy protection in the U.S. Bankruptcy Court for the District of Delaware on March 20, suffering financial distress from increased overhead, low reimbursements and a ransomware attack in October 2023 that interrupted the company's efforts to bill patients and insurance companies.

The company's financial problems worsened as it defaulted in on payments on over $50 million in loans that led to 19 of the company's facilities to be placed into receivership. 

Petersen asserted in a March 21 statement that it will continue to operate its business as normal, as it is seeking court approval of a $45 million debtor-in-possession financing commitment from lenders to fund post-petition operating expenses and working capital.

“Petersen will operate as usual, and our team remains committed to continuing to provide first-rate care for our residents,” CEO David Campbell said in a statement. “We will emerge from restructuring as a stronger company with a more flexible capital structure. This will enable us to continue as a first-choice care provider and a reliable employer for our staff.”

The Peoria, Ill.,-based company, which was founded in 1974, operates skilled-nursing facilities, assisted/independent living communities, memory care services and homes for the developmentally disabled.

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Rising insurance costs, ample inventory create a unique market in Southwest Florida

Despite a slower housing market, agents are optimistic about what the spring and summer will bring

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Unlike many other metropolitan areas across the country, the housing market in Southwest Florida is comparably flush with for-sale inventory.

“I think one of the major trends we are seeing is that our overall inventory is up 60% year over year compared to 2023,” said PJ Smith, president of the Naples Area Board of Realtors and the broker-owner of Naples Golf to Gulf Real Estate. “We are seeing a healthy increase in inventory, which we really needed.”

According to data from Altos Research as of March 15, the 90-day average number of single-family active listings in the Naples-Marco Island metro area was 2,362, up from 1,605 one year earlier but down from the 3,760 listings recorded in late March 2019 prior to the COVID-19 pandemic.

In the nearby metro area of Cape Coral-Fort Myers, active single-family inventory over the previous 90 days averaged 6,500 listings as of March 15, above its March 2020 level of 5,044 listings and approaching its March 2019 level of 7,243 listings.

Smith attributes the uptick in inventory to a bump in new listings. The 90-day average number of new listings as of mid-March 2024 was 170 in Naples-Marco Island, and 432 in Cape Coral-Fort Myers). There is also some pent-up desire to sell being released by a steadier interest rate environment and an overall slower market.

Southwest-Florida-New-Listings-Line-Chart-90-day-Single-Family

“Last year we were still adjusting from the effects of the pandemic market, but now the trends seem to be getting back to our baseline, which is more like our 2019 market,” Smith said. “Days on market is also trending back to what is more normal for our market as well.”

Data from Altos Research shows that the 90-day average median number of days on market in the Naples-Marco Island metro area was 70 days as of mid-March, up from a record low of 21 days in mid-May 2022.

Naples-Marco-Island-Median-Days-on-Market-Line-Chart-Naples-Marco-Island-FL-90-day-Single-Family

While some properties are sitting on the market longer, Smith noted that those in good condition, priced well and in a desirable location are still selling quickly.

“I just sold a property after two days on the market,” Smith said. “We are still seeing properties go pending quickly and some with multiple offers.”

Local real estate professionals attribute the slower market to a variety of factors including higher home prices, which have remained steady despite the slowdown, higher interest rates, and rising costs for homeowners and flood insurance.

“Florida, like many places, is seeing the insurance piece of the component impacting people’s payments in a way that is making it hard to them to navigate the market,” said Cyndee Haydon, a Seminole-based agent for Future Home Realty agent.

According to an analysis by S&P Global, between 2018 and 2023, homeowners insurance rates in Florida have jumped by 43.2%. From 2022 to 2023 alone, rates rose 15%. And data from the Insurance Information Institute shows that Floridian homeowners are paying an average of nearly $6,000 a year in insurance, which is nearly three times what they paid in 2019. In comparison, the average U.S. homeowners insurance policy was roughly $1,700 in 2023.

Compounding the rising insurance costs is the fact that many insurers and reinsurers have made the decision to leave the state. These companies have cited the recent uptick in the number and severity of hurricanes and other weather-related disasters impacting the Sunshine State.

“Florida is seeing notably more hurricanes, so continuous years of poor experience, meaning losses for the insurance carriers, they have no choice but to increase those premiums,” said Sean Kent, the senior vice president of insurance at FirstService Financial.

“Additionally, there are just a few carriers that are willing to participate and insure some of those units, so accessibility to coverage has been reduced significantly.”

These rising costs are understandably impacting the ability or willingness of some buyers to purchase specific properties.

“Insurance is an expense that is expected — but nothing as substantial as we are seeing today,” said Sheryl Houck, a Tampa-based eXp Realty agent. “We are seeing contracts fall through during the due-diligence period because of the sticker shock on insurance costs, so that is definitely a problem.”

Due to this, real estate professionals are bringing insurance partners into their transactions much earlier than before.

“It is definitely a significant concern and issue,” Smith said. “What we recommend is that before you put a property under contract, you consult and get a quote so that you know what your potential insurance costs will be.”

In addition to navigating rising insurance costs with buyers, agents said they have also had to field questions from past clients about the rising premiums, who often need help in finding ways to lower their costs.

“We have instances where clients reach out and ask why they are seeing a 62% jump in their insurance, but we have been able to help them, whether that’s raising their deductible or putting them in touch with some of our other insurance contacts,” Houck said.

Despite rising insurance costs that make homeownership in these markets more costly, local real estate professionals don’t feel that this is behind the recent uptick in new listings.

“We’ve seen a lot of people move out of state to more affordable markets,” Houck said, ”but it is all relative because we are also seeing a lot of people moving in, because our market is more affordable than New York or California.”

Still, if premiums continue to rise, agents feel like this could become a bigger issue, especially for the area’s large population of retirees.

“When we look at people that are getting closer to retirement or have a fixed income, it becomes more and more of a concern,” Haydon said. “People are really being pinched with affordability.”

But while rising insurance costs are certainly a challenge for owners and buyers in Southwest Florida, Haydon said the slower housing market is good news for a lot of buyers.

“I have negotiated some of the most incredible deals for my buyers that are in the market right now that I have seen since the 2008 housing market crash,” Haydon said. “I had a buyer last month and the property was listed as $475,000, but with the necessary repairs, its value was $410,000 and we were able to negotiate an offer for $410,000.

“Normally, I would tell buyers that if they are 10% off the list price, they are dealing in different realities than the seller.”

Haydon said she has also recently had offers accepted with sale contingencies, closing cost coverages and a variety of other seller concessions.

Although things have slowed from the height of the frenzied post-pandemic market, local agents are optimistic about where the market is headed this spring and summer.

“It is very busy. Literally since Jan. 1, the spigot has turned on,” said Dyan Pithers, co-founder of The Pithers Group, a Tampa-based and Coldwell Banker Realty-brokered firm. “There are a lot of buyers in the market, and we are really focusing on showing value to sellers to get those listings out there so there are homes for buyers to purchase. It is going to be a really strong spring and summer.”

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NBC says fans will have an enhanced viewing experience for the Summer Olympics

NBC says sports fans will have an enhanced viewing experience for the 2024 Summer Olympics.

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It's March Madness season — which alongside the Super Bowl — is one of the biggest sporting events in the U.S. But we're also just a few months away from the biggest sporting event in the entire world as the 2024 Summer Olympics Games in Paris start on July 26.

Olympics viewership has seen a pretty substantial dip in recent iterations, especially during the recent Tokyo Olympics that were delayed from 2020 to 2021 and marred by the Covid-19 pandemic.

NBC is paying a whopping $7.65 billion to broadcast the Olympics until 2032 — and while the game still has viewership in the tens of millions, it's clear that the network needs to find a way to bring back its audience to justify its investment.

Related: How you can attend the 2024 Paris Olympics in person

Over the last few days, the network has announced a few changes that could enhance the viewing experience in an effort to bring in more fans or have them watch the games for longer.

On Wednesday, Mar. 20, NBCUniversal  (CMCSA)  announced that it would be taking the "RedZone" style of programming made popular with the NFL and bring it to the Olympics. NBCUniversal's Peacock streaming service will offer the "Gold Zone," bringing a format that will move around the different events of Olympics during the most important times of an event.

The show will be hosted by Scott Hanson, Andrew Siciliano, Matt Iseman, and Akbar Gbajabiamila. Hanson and Siciliano are mainstays in the NFL Network's coverage of the football league, with the latter hosting the "RedZone Channel" on DirecTV for nearly two decades.

"Gold Zone" will be available on Peacock from 7 a.m. to 5 p.m. ET from July 26 to Aug. 10. NBCUniversal began streaming some events exclusively on Peacock during the last Summer Olympics — and it has continued to push its streaming platform for other live sporting events like a 2024 Wild Card NFL playoff game — so this move further shows the company's commitment to the service. 

NBC says how you watch the Olympics is about to completely change.

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Moreover, NBC also announced that it is going to have the Olympics Opening Ceremony on Friday, July 26 available for viewership at IMAX locations around the country.

This is the first time that the event will be presented on IMAX screens and will be available at 150 IMAX locations, according to the press release.

These two moves further showcase that NBC is looking to throw anything at the wall to maximize and unlock the value of the Olympics broadcasting rights.

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The New York Fed DSGE Model Forecast—March 2024

This post presents an update of the economic forecasts generated by the Federal Reserve Bank of New York’s dynamic stochastic general equilibrium (DSGE)…

This post presents an update of the economic forecasts generated by the Federal Reserve Bank of New York’s dynamic stochastic general equilibrium (DSGE) model. We describe very briefly our forecast and its change since December 2023. As usual, we wish to remind our readers that the DSGE model forecast is not an official New York Fed forecast, but only an input to the Research staff’s overall forecasting process. For more information about the model and variables discussed here, see our DSGE model Q & A.

The New York Fed model forecasts use data released through 2023:Q4, augmented for 2024:Q1 with the median forecasts for real GDP growth and core PCE inflation from the January release of the Philadelphia Fed Survey of Professional Forecasters (SPF), as well as the yields on ten-year Treasury securities and Baa corporate bonds based on 2024:Q1 averages up to February 27. Starting in 2021:Q4, the expected federal funds rate (FFR) between one and six quarters into the future is restricted to equal the corresponding median point forecast from the latest available Survey of Primary Dealers (SPD) in the corresponding quarter. For the current projection, this is the January SPD.

Once again, the model was surprised by the strength of the economy. The model attributes this forecast error in part to higher-than-expected productivity, and in part to stimulative financial conditions. This positive surprise leads to a sizable upward revision of the output growth projections for 2024 relative to the December forecast (1.9 versus 1.2 percent).  Growth projections for the remainder of the forecast horizon are not very different from what they were in December (0.7, 0.5, and 1.0 percent in 2025, 2026, and 2027 versus 0.7, 0.9, and 1.5 percent in December, respectively). Inflation projections are slightly lower in 2024 than they were in December (2.0 versus 2.2 percent), mostly because 2023:Q4 inflation surprised the model on the downside (although we should note that the model did not take into account the January core PCE readings, as they were not yet incorporated in the February SPF nowcast). The expected path for inflation is otherwise essentially the same as in December (2.0, 2.1, and 2.2 percent in 2025, 2026, and 2027 versus 2.0, 2.0, and 2.1 percent in December, respectively).

The short-run real natural rate of interest is expected to remain at roughly the same elevated level as projected in December for 2024 (2.1 percent versus 2.2 percent in December), declining to 1.9 percent in 2025, 1.6 percent in 2026, and 1.4 percent in 2027. The expected path of the policy rate is essentially unchanged relative to December. The model continues to see policy as being restrictive through the end of 2024, with the real federal funds rate remaining above the short-term natural rate of interest.

Forecast Comparison

Forecast Period2024202520262027
Date of ForecastMar 24Dec 23Mar 24Dec 23Mar 24Dec 23Mar 24Dec 23
GDP growth
(Q4/Q4)
1.9
 (-2.2, 6.1) 
1.2
 (-3.8, 6.2) 
0.7
 (-4.3, 5.6) 
0.7
 (-4.3, 5.7) 
0.5
 (-4.7, 5.8) 
0.9
 (-4.5, 6.3) 
1.0
 (-4.6, 6.5) 
1.5
 (-4.1, 7.1) 
Core PCE inflation
(Q4/Q4)
2.0
 (1.5, 2.6) 
2.2
 (1.5, 2.9) 
2.0
 (1.1, 2.8) 
2.0
 (1.1, 2.9) 
2.1
 (1.1, 3.0) 
2.0
 (1.0, 3.0) 
2.2
 (1.1, 3.3) 
2.1
 (1.0, 3.1) 
Real natural rate of interest
(Q4)
2.1
 (0.8, 3.4) 
2.2
 (0.8, 3.6) 
1.9
 (0.4, 3.3) 
1.8
 (0.3, 3.3) 
1.6
 (0.0, 3.2) 
1.6
 (0.0, 3.2) 
1.4
 (-0.3, 3.1) 
1.4
 (-0.3, 3.1) 
Source: Authors’ calculations.
Notes: This table lists the forecasts of output growth, core PCE inflation, and the real natural rate of interest from the March 2024 and December 2023 forecasts. The numbers outside parentheses are the mean forecasts, and the numbers in parentheses are the 68 percent bands.

Forecasts of Output Growth

Line chart showing forecasts of output growth generated by the New York Fed's DSGE Model.

Source: Authors’ calculations.
Notes: These two panels depict output growth. In the top panel, the black line indicates actual data and the red line shows the model forecasts. The shaded areas mark the uncertainty associated with our forecasts at 50, 60, 70, 80, and 90 percent probability intervals. In the bottom panel, the blue line shows the current forecast (quarter-to-quarter, annualized), and the gray line shows the December 2023 forecast.

Forecasts of Inflation

Line chart showing forecasts for core PCE inflation generated by the New York Fed's DSGE Model.

Source: Authors’ calculations.
Notes: These two panels depict core personal consumption expenditures (PCE) inflation. In the top panel, the black line indicates actual data and the red line shows the model forecasts. The shaded areas mark the uncertainty associated with our forecasts at 50, 60, 70, 80, and 90 percent probability intervals. In the bottom panel, the blue line shows the current forecast (quarter-to-quarter, annualized), and the gray line shows the December 2023 forecast.

Real Natural Rate of Interest

Line chart showing estimates for the real natural rate of interest, as generated by the New York Fed's DSGE Model.

Source: Authors’ calculations.
Notes: The black line shows the model’s mean estimate of the real natural rate of interest; the red line shows the model forecast of the real natural rate. The shaded area marks the uncertainty associated with the forecasts at 50, 60, 70, 80, and 90 percent probability intervals.

Marco Del Negro is an economic research advisor in Macroeconomic and Monetary Studies in the Federal Reserve Bank of New York’s Research and Statistics Group.

Pranay Gundam is a research analyst in the Bank’s Research and Statistics Group.

Donggyu Lee is a research economist in Macroeconomic and Monetary Studies in the Federal Reserve Bank of New York’s Research and Statistics Group.

Ramya Nallamotu is a research analyst in the Bank’s Research and Statistics Group.

Brian Pacula is a research analyst in the Bank’s Research and Statistics Group.

How to cite this post:
Marco Del Negro, Pranay Gundam, Donggyu Lee, Ramya Nallamotu, and Brian Pacula, “The New York Fed DSGE Model Forecast—March 2024,” Federal Reserve Bank of New York Liberty Street Economics, March 22, 2024, https://libertystreeteconomics.newyorkfed.org/2024/03/the-new-york-fed-dsge-model-forecast-march-2024/.


Disclaimer
The views expressed in this post are those of the author(s) and do not necessarily reflect the position of the Federal Reserve Bank of New York or the Federal Reserve System. Any errors or omissions are the responsibility of the author(s).

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