CareTrust REIT Inc

NYSE:CTRE

Earnings Call Transcript 2019-Q4

[Operator]

Well ladies and gentlemen, thank you for standing by. And welcome to the CareTrust REIT Fourth Quarter 2019 Earnings Conference Call. At this time, all participant lines are listen-only mode. After the speaker's presentation, there'll be a question and answer session. [Operator Instruction] Please be advised that this call may be recorded. [Operator Instruction]

I would now like to hand the conference over to Controller, Lauren Beale. Please go ahead.

[Lauren Beale, Controller]

Welcome to CareTrust REIT's fourth quarter and year-end 2019 earnings call. Participants should be aware that this call is being recorded, and listeners are advised that any forward-looking statements made on today's call are based on management's current expectations, assumptions and beliefs about CareTrust business and the environment in which it operates.

These statements may include projections regarding future financial performance, dividends, acquisitions, investments, returns, financings and other matters, all of which are subject to risks and uncertainties that could cause actual results to materially differ from those expressed or implied here in.

Listeners should not place undue reliance on forward-looking statements and are encouraged to review CareTrust SEC filings for a more complete discussion of factors that could impact results, as well as any financial or other statistical information required by SEC Regulation G. Except as required by law CareTrust REIT and its affiliates do not undertake publicly update or revise any forward-looking statements where changes arise as a result if new information, future events, changing circumstances or for any other reason.

During the call, the Company will reference non-GAAP metrics, such as EBITDA, FFO and FAD or FAD and normalized EBITDA, FFO and FAD. When viewed together with GAAP results, the Company believes these measures can provide a more complete understanding of its business but cautions that they should not be relied upon to the exclusion of GAAP reports.

CareTrust yesterday filed its Form 10-K and a company and press release and its quarterly financial supplement, each of which can be accessed on the Investor Relations section of CareTrust website at www.caretrustreit.com A replay of this call will also be available on the website for a limited period.

Management on the call this morning, include Bill Wagner, Chief Financial Officer; Dave Sedgwick, Chief Operating Officer; Mark Lamb, Chief Investment Officer; and Eric Gillis, Director of Asset Management.

I will now turn the call over to Greg Stapley, CareTrust REIT's Chairman and CEO.

[Greg Stapley, President and Chief Executive Officer]

Thanks, Lauren and good morning everyone. Thanks for being on the call with us today. 2019 gave CareTrust the opportunity to evolve and make changes that we believe position us well for the next phase of our growth. We do worry sometimes that the noise that we experienced in the second half of the year might mask the fact that 2019 was our biggest year ever for acquisitions with over $340 million in new investments made in the year that we're very excited about.

More importantly and part of the reason, we're excited is that we made them with outstanding operators who are doing a good job in those facilities. 2019 also required us, as I've alluded to, to face some hard realities as we looked across the portfolio. We are pleased to report that we've completed all of our previously announced portfolio changes, re-tenanting some facilities and disposing of others.

We also had one unexpected mortgage loan prepayment in the fourth quarter and we now anticipate another early repayment in the spring. The team will walk through those details in just a minute. The goal, as a reminder, of these efforts has been to rinse out any softness in our portfolio just to be sure that we always have a solid foundation to build on. Proceeds from dispositions and loan repayments are already being recycled in the more desirable assets with superior operators.

Naturally, until we fully deploy the additional capital, our revenues might run slightly behind where we were before the changes were undertaken, but we're working hard to replace them as aggressively and responsibly as market conditions will allow. Our success in making these changes has reaffirmed our belief that principles of sound stewardship requires not only to grow and diversify earnestly, but to also prune the portfolio responsibly from time to time. It also reinforces our commitment to aggressively tackle small problems while they are still small.

To that end, we continue to monitor and interact with all of our tenants frequently. We believe the rigorous application of these operating philosophies will produce the best overall long-term results for CareTrust and our shareholders. In addition, we expect this approach to continue fostering an atmosphere of accountability and high performance both for us and our operating partners while helping us build a strong, healthy, and expanding organization that can stand the test of time.

With that, I'd like to turn sometime over to Dave to talk about the changes we've made in current operations; then, Mark will discuss recent acquisitions in the pipeline and Bill will wrap up with the financials and guidance. Dave?

[Dave Sedgwick, Chief Operating Officer]

Thanks, Craig and good morning. On our last call, I provided detailed color on the actions then under way to derisk the portfolio. With the exception of Metron in Michigan, all of those actions were completed in the quarter as I described. We are now watching the performance of the facilities we retained and repositioned closely and are encouraged by most of the progress to-date.

As a reminder, in Ohio, we moved four facilities from Trillium to our master lease with Providence; we recast Trios rent in their seven facilities; and we sold the remaining three Ohio assets to CommuniCare. Our Ohio facilities are now largely performing as expected with these operators. They still have ground to cover before we consider them stabilized, but we believe they are on the right path.

In our seniors housing segment, we replaced one operator with Noble Senior Services without any drop in rent given the incoming operators outlook for the portfolio. It's still early, but we're encouraged by some of the improvements we've seen to occupancy out of the gate. We'll continue to monitor all of these tenants and their operations closely to be sure pro formas are consistently met and they are on their way to reaching their full potential.

Finally, with regards to Metron, I had said on last quarter's call that we expected to sell the portfolio sometime in Q1 of this year. I'm pleased to report that we closed on the sale of all six facilities last Friday, February 14th for $36 million. In order to expedite the transaction, we provided short-term seller financing receiving roughly $3.5 million in cash at closing and carrying the balance at 7.5%.

We expect the mortgages will be paid off by March 31st. This quarter continues what we believe is the new gold standard for reporting with our top 10 tenant lease coverage slide in our supplemental. We're showing you EBITDAR and EBITDARM coverage by tenant for approximately 84% of our annualized rental revenue. One quarter to the next does not make a trend, but with time, you'll be able to have a stronger sense of how these operators are performing.

Looking at the broader industry, there are basically three areas of interest to us and our operators. First, PDPM; second CMS's recent statement about Medicaid; and third, the impact of these things on deal flow, which I'll let Mark discuss. First, regarding PDPM, it's really too early from our perspective to make conclusions about PDPM's impact on the industry as a whole. There is certainly anecdotal evidence that some providers have benefited from PDPM as expected with improved daily Medicare rates and lower therapy costs.

We've also heard others that have been hurt by it. So we're frequently asked whether PDPM might significantly miss its budget neutrality target prompting a take back or other draconian change by CMS. We believe that PDPM's change to set rates from patient characteristics rather than from therapy volume is a much better approach and will produce better outcomes and we applaud CMS's efforts here. So even if the budget projections turn out to be a little bit off, we hope and expect that CMS will have the flexibility to thoroughly assess the impact before making adjustments, if any.

Second, we've also lately been asked quite a bit about CMS's recent comments about their proposed Medicaid Fiscal Accountability Rule or MFAR. We believe that recent comments by CMS reassuring the industry that they have no plans to cut Medicaid payments or otherwise pull the rug out from under those states with supplemental payment systems should effectively allay fears of a significant impact in the near-term. We don't expect the conversation to go away however and we'll be tracking the discussion as it affects the states where we have assets.

And with that, I'll hand it over to Mark to talk about the pipeline.

Mark?

[Mark Lamb, Chief Investment Officer]

Thanks, Dave and hello everyone. In Q4 and since, we have closed approximately $48.5 million in new investments. This includes a 70-bed skilled nursing facility located in Modesto, California for which we paid $8.7 million and a 99-bed SNF and 72-unit assisted living facility campus in Sacramento that we picked up for $14.2 million, both of which have been leased to our existing tenant, Kalesta Healthcare.

Scheduled cash rent for the first two years of approximately $3.9 million has been added to Kalesta's master lease with us and both facilities are performing ahead of expectations. We deployed $18.5 million to acquire Cascadia of Boise, a brand new state-of-the-art 99-bed skilled nursing facility located across the street from Saint Alphonsus Medical Center in Boise, Idaho, adding $1.67 million in new rent to our master lease with Cascadia Healthcare.

You may recall that we jointly developed this asset with Cascadia under a preferred equity financing arrangement, which allowed us to get the property at an advantageous price while allowing them to lease it from us at a rent that was below market for a new asset of this quality. This was our second new build with the Cascadia team and we look forward to more new construction with them in the near future.

Lastly, we just acquired Barton Creek Assisted Living, a 62-unit memory care facility located on the campus of Lakeview Hospital in Bountiful, Utah. We leased Barton Creek to our outstanding existing senior housing tenant, Bayshire Senior Communities adding just under $600,000 in rental revenue to their master lease with us.

We look forward to further growth with Bayshire are as well. The numbers quoted for all these deals were inclusive of transaction costs and the initial cash yields are all disclosed in our supplemental. Our total investments for 2019 exceeded $340 million, which was our best year ever, all at a blended yield of 8.8%.

Turning to the market, we've seen it heat up a bit over the last few weeks but prior to that, it was very slow especially on the SNF side. As Dave mentioned, we suspect that some SNF operators who might otherwise be sellers have been on the sidelines waiting to see how PDPM might shake out.

We believe this is a temporary phenomenon but it might be making deal flow a bit lighter at present. It certainly makes valuation of the deals we do seem a bit more complicated in the short run, but we are working through that and we have no reason not to expect to get our fair share of acquisitions this year.

On the senior housing side, there are plenty of assisted living and memory care deals out there right now, but most don't fit with our or our operators objectives. So meaningful opportunities for us in that asset class have been fewer and farther between, but we are getting a few as you just saw with the Barton Creek deal, which we are very excited about.

The pipeline as we sit here today is right around $150 million. They consist of a few singles and a few small to mid-sized portfolios. We anticipate placing a majority of the buildings with our existing operating partners, but we anticipate bringing some new relationships into the CareTrust family as a result of these opportunities in the pipe, operators who we know very well and have had substantive conversations with over the past few years.

Please remember that when we quote our pipe, we only quote deals that we are actively pursuing which meet the yield coverage and other underwriting standards we have in place from time to time and then only if we have a reasonable level of confidence that we can lock them up in closing.

Now, I'll turn it over to Bill to discuss the financials.

[Bill Wagner, Chief Financial Officer]

Thanks Mark. For the quarter, normalized FFO grew by 20% over the prior year quarter to $32.5 million or $0.34 per share and normalized FAD grew by 22% to $34.1 million or $0.36 per share. Our payout ratio remains at or among the lowest of our peers at approximately 66% on normalized FFO and 63% on normalized FAD.

Leverage continues to be at all-time lows at a net debt-to-normalized EBITDA ratio of 3.3 times and a net debt to enterprise value of 21% as of quarter-end. Updated guidance for 2020, we expect normalized FFO per share of $1.32 to $1.34 and normalized FAD per share of $1.38 to $1.40.

This guidance includes all investments and dispositions made to-date, expected loan payoffs in Q1 of approximately $32 million, the sale of our one remaining independent living facility in Q1, a diluted weighted average share count of 95.6 million shares, and also relies on the following assumptions.

One, no additional investments or dispositions other than the ones I mentioned nor any further debt or equity issuances this year; two, inflation-based rent escalations, which account for almost all of our escalators at an average of 1.75%; our total rental revenues for the year again including only acquisitions made to-date are projected at approximately $167 million, which includes $77,000 of straight-line rent.

Lastly, not included in this amount are tenant reimbursements which we previously accounted for on their own line item in the income statement. Due to the new leasing standard, this is now grouped with rental revenues. Three, interest income of approximately $1.3 million, this is down $2.5 million due to an unexpected loan pay-off in Q4 of last year as well as the now expected payoff of the loan we made to CommuniCare when we sold them three Ohio assets.

This decrease was slightly offset by the short-term loan we made in conjunction with the sale of our Michigan assets. Four, interest expense of approximately $26 million. In our calculations, we have assumed a LIBOR rate of 1.75% and a grid-based margin rate of 125 bps on the revolver and 150 bps on the seven-year term loan. Interest expense also includes roughly $2 million of amortization of deferred financing fees.

And five, we are projecting G&A of approximately $13.9 million to $15.8 million. Our G&A projection also includes roughly $3.7 million of amortization of stock comp. This range is up approximately $2 million on both the low and the high-end from our previous guidance due to expected new hires we intend to make to strengthen our team and increased wages and stock comp.

Our leverage and liquidity positions continue to remain strong. We did not sell any shares under our $300 million ATM that we put up last year and our revolver balance currently sits at $75 million. So, our credit stats calculated on a run rate basis as of today are net debt to EBITDA of approximately 3.6 times, leverage is about 20% of enterprise value, and our fixed charge coverage ratio is approximately 6.4 times.

We also have $12 million of cash on hand. Finally, you'll notice that we put back into our Q4 supplemental the portfolio performance by asset type based on all the feedback we received since we last took it out.

And with that, I'll turn it back to Greg.

[Greg Stapley, President and Chief Executive Officer]

Thanks, Bill. There is one more bit of news we'd like to share with you before we open up for questions today. While our first priority will always be the creation of long-term value for shareholders, we believe that sustainable development practices and consistent attention to social and governance priorities can help enhance that value over time.

We're pleased to report that yesterday we published a number of policy statements covering corporate responsibility. While many of these statements seem to memorialize our existing practices and philosophies, the exercise has given us the opportunity to get these core values on paper and share them both internally and externally.

Among other things, we've updated our internal code of conduct and business ethics. We've also crafted a vendor code of business ethics and we'll soon begin distributing it to every vendor with whom we have a material relationship. We likewise have memorialized our positions or policies on human rights, human capital, and environmental responsibility.

One of the more unique policies is our new tenant code of conduct and corporate responsibility. It creates a model for a new kind of responsible partnership between triple net landlords and tenants. We believe it is a first of its kind document for a fully triple net non-shop non-RIDEA REIT.

Our hope is that this partnership approach will allow us and our triple net tenants to make cooperatively the kinds of positive changes that landlords who have full control over their properties can make unilaterally. We also hope that it may actually distinguish us as a more attractive capital partner for prospective tenants in the future. This will be an ongoing project and actually implementing that program and procuring buying from tenants will take some time.

So going forward, we will be working on a periodic reporting pattern that our stakeholders can look to in order to gauge our continued progress on this front and all of these policies can be found on the Investors section of our website. We hope that this discussion has been helpful to you. We thank you again for your continued interest and support and with that, we'll be happy to answer questions. Michelle?

[Operator]

[Operator Instructions] Our first question comes from Chad Vanacore of Stifel. Your line is open.

[Seth Canetto, Stifel]

This is Seth Canetto on for Chad. Hey in your opening commentary you mentioned MFAR, the Medicaid Fiscal Accountability Rule. Can you just tell us how much of that revenue in your existing portfolio could be impacted by that and I think it impacts Texas, Utah, Indiana?

[Greg Stapley, President and Chief Executive Officer]

Yes, so MFAR is -- yes, at this point, we've seen really unified opposition from hospitals and insurers and everyone even bipartisan opposition from governors to senators to the rule as it's been written. The public comment period closed on January 31st and CMS now has about 4,000 comments to go through before they decide whether to finalize the rule or change it. We don't expect that there will be significant impact based on everything we've read so far.

There is basically the provider taxes methodology, which is largely employed by almost all of the states. If there is a problem that CMS has with a particular state's criteria, they're going to have time to change how they do things to show that there is quality outcomes as part of the measurement or whatever CMS is looking for. So we don't expect that to go away. I think the UPL component has probably been the one that's the most largely at risk.

But again, there is going to be a period of several years for these operators and states to work out something or transition to something else away from UPL to something else to protect that revenue. The Medicaid revenue as you know in skilled nursing is just not rich enough to cut. Medicaid knows that. They've signaled that they're not -- their intention is not to cut the Medicaid funding from this and so we think it's really an attempt for transparency and accountability that CMS wants to see.

So we're not really projecting or giving out any guidance or numbers as to a threat to their cut in revenue that we don't expect.

[Seth Canetto, Stifel]

Okay, great, that's very helpful, but does it impact your underwriting of potential acquisitions in certain states?

[Mark Lamb, Chief Investment Officer]

Hey, Seth, it's Mark. I think if you look at states that are affected by UPL, you have states like Texas, which is -- kind of have something called QIPP and we don't underwrite QIPP into our new acquisitions. So I think other states that it's a little bit more embedded, say maybe Idaho or Montana. In there, we're very careful in terms of how we use that revenue stream and how we value that revenue stream, but like most of our peers, we don't ever UPL as we look to acquire assets.

[Seth Canetto, Stifel]

Okay, perfect and then just shifting to the top 10 operators in your portfolio. I think it was welcome that you guys provided the coverage metrics for those, but if I look at it, it seems like most of the operators are flat to slightly up, which is great, but the two that jumped out to me were the Providence Group coverage and the Premier.

I know we talked last quarter that you mentioned Premier has one building in particular that's causing a temporary drag on their coverage, but is there anything else meaningful that's dragging down that operator and then should we expect Providence Group's coverage to rebound from PDPM?

[Greg Stapley, President and Chief Executive Officer]

So with regards to Premier, the story there really hasn't changed from last quarter. So we would expect to see coverage start to stabilize here in 2020 as those regulatory challenges that they had were kind of throughout 2019 for the majority of the year. So, you're probably not going to start to see that until we start to see Q1 numbers come in, which you are not going to see until Q2 and then with regards to Providence.

Yes, the dip there is really simply ties to the addition of Ohio portfolio that they stepped into. That dragged their coverage down and they will take their time to stabilize that part. The buildings are doing as they expected when you take over some underperforming assets, it takes a little bit of time to get those things stabilized and so we're not concerned about that. We think that that's going to eventually in 2020 start to show better coverage.

[Operator]

Our next question comes from Jordan Sadler of KeyBanc Capital Markets. Your line is open.

[Jordan Sadler, KeyBanc Capital Markets]

I just wanted to follow up on the coverage. I guess I saw a little differently sequentially. I know this has been outside of sort of end time that will see that sequential softening, but I know that it's only through 3Q. I'm just kind of curious in terms of the expectations as we roll forward. Will the recent trends be sustained or do you think ultimately there'll be a reversal either following reimbursement or just as a result of sort of the individual business plans of some of the operators that you signed on over the years.

[Greg Stapley, President and Chief Executive Officer]

Well, Jordan, I'd say each of these operators has their own unique story and hard to paint a broad brush overall the top 10 tenants. So I guess what we could say is that -- what I would expect if I were you is to see coverage kind of go up and down slightly from quarter to quarter for a whole host of reasons that operators have good quarters and then some challenges. So we don't expect to draw much in terms of the conclusion from one quarter to the next, but as you string four or five quarters together, you can really see how these guys are performing.

[Jordan Sadler, KeyBanc Capital Markets]

Okay and then as it relates to the pipeline, Dave, I guess while I have you or maybe Mark wants to jump in, what is the expectation in terms of timing based on sort of your commentary about what we're seeing in the fourth quarter and sort of expectations potentially of sellers versus you know, of you guys and other buyers in the first half of this year.

[Dave Sedgwick, Chief Operating Officer]

Yes, so I think you can bifurcate. There is a lot of senior housing and assisted living out on the market. So you know, I obviously stated that in the prepared remarks. On the SNF side, we have seen an uptick over the last couple of weeks in the pipeline. Not sure if that's operators coming off the sidelines from PDPM they've kind of seen enough and they are ready to sell or if folks were just looking to get pieces of their portfolio fixed.

So we're a little bit unsure as to why the uptick has taken place, but we are encouraged by the deal flow that has come in of late and we obviously head to the NIC in two weeks and would expect to see additional deals there. So we're cautiously optimistic that we're going to start to see kind of more normalized flow in skilled nursing deals that we've seen in the past,

[Greg Stapley, President and Chief Executive Officer]

Jordan, it's Greg. Let me just add that -- and we've already indicated that the latter part of last year, the deal flow felt kind of light and so as the pipeline just starts to refill now, you can probably anticipate that the acquisition volume will probably be loaded toward the middle and back of the year more heavily at this point assuming that what we're seeing right now holds.

[Jordan Sadler, KeyBanc Capital Markets]

Can you characterize the uptick? Is it many individual or like one-off and one-in-two-off sort of properties that is coming to market over the last year-to-date or is has it been a couple of portfolios that have come to market.

[Greg Stapley, President and Chief Executive Officer]

Yes, I think -- that's all. So it's continued divestitures of non-strategic assets for regional operators. It's maybe a mom or pop that are looking to exit and then you have small to mid-sized portfolios of say four to 10 assets that you have groups that are looking to get out altogether, so it's not, it's not. I think obviously cap rates are what they are, particularly in certain regions California, the Southeast, the Mid-Atlantic still are very, very competitive from a geographic perspective, but there is not, it's not like a flood of mom and pops or it's not a flood of say traditionally Medicaid operators. It's really kind of a catch-all of people paring down their portfolios and then some people just getting out of the business.

[Operator]

Our next question comes from Steven Valiquette of Barclays. Your line is open.

[Steven Valiquette, Barclays]

Thanks, good morning everybody on the West Coast. So, two questions here. First, this one is kind of long-winded, so I apologize in advance, but just your comments around PDPM were helpful and just a quick follow-up question on that topic is really just given the timing each year of when proposed rate updates come out, let's say, around May 1st each year for proposed rates and final rates published around August 1st. My personal view is that there was probably only a small chance that CMS would have enough data to really make any sort of well-informed decision around hitting versus missing budget neutrality targets to change SNF Medicare reimbursement for fiscal '21 related to PDPM. So I guess the question is, whatever the revenue and profit trends are for SNF operators in the first six months around PDPM, do you and or industry insiders in general think it was realistic that CMS would make any quick adjustments to SNF reimbursement for fiscal 2021 over the next six months or so or would they more likely want to see, one to two years of financial trend to make an adjustment for maybe fiscal '22 at the earliest. Hopefully, that question makes sense.

[Greg Stapley, President and Chief Executive Officer]

Yes, it does. We think it's more likely that they would not be making a big decision based on the limited information they've received so far. So we agree with you there. We think Mark Parkinson recently, Head of ACA, has basically suggested the same. So we would be surprised if they made a major change later on this late summer, early fall. However, there is precedent for being surprised by CMS and so you can't sleep on it but the short answer is yes, we agree that it would be surprising based on the limited information that they have so far to make big changes.

[Steven Valiquette, Barclays]

Okay, that's helpful and then just a follow-up quickly on that last line of discussion around SNF transaction flow overall across the industry. There was another large healthcare REIT company that talked about today's skilled nursing market, pricing is so hot, they'd rather be a seller instead of a buyer. I don't know if that was a comment that you caught or not, but just curious if you want to comment further on if other operators have that view, how you kind of think along those lines? Not an operator, but another REIT just to be clear, sorry about that.

[Greg Stapley, President and Chief Executive Officer]

Yes, Steve, it's Greg. I think that's an interesting comment. All of our leases -- all of our properties are subject to long-term leases and if we had a tenant who was actually doing so well that the property was -- could go out and command a super high price, we'd have to not only probably split any gain on a sale with them just to pay them to terminate their lease, but we have to give up a very good lease with very good coverage.

So we would not be sellers of good assets in this market, the kind that would command those kind of premiums and -- but on the other side, it sure is making it challenging to find assets that we can get into at the right price. We're getting them, but it is hard work and requires us to be out there beating bushes pretty hard. So the $340 million that we did last year in acquisitions, which was predominantly SNFs was significant for us and we hope that we can replicate that or something like it this year.

[Operator]

Our next question comes from Michael Carroll of RBC Capital Markets. Your line is open.

[Michael Carroll, RBC Capital Markets]

Yes. Thanks, Greg, I wanted to touch on, I guess in the earnings release, you kind of highlighted that there are a few tenants still on your watch list. Can you provide some color to that and how should we think about that? How big are those tenants and why are they on your watch list?

[Greg Stapley, President and Chief Executive Officer]

I think I characterized them as smaller tenants, Mike and we said in the past and I know it's probably not appreciated, but we said in the past that everybody is on our watch list, but I know what you're asking and we do stay close to them and -- but there are a couple of tenants, they are the obvious ones, I mean you can look at the top 10 list and see a couple of depressed coverages there that have been on our watch list for a while. Dave's already talked about what the prospects for those two tenants are.

In the non-top 10, we're still watching -- like the new tenant that we just brought in, they're doing a great job and -- but that's still a very fresh relationship and so we tend to stay closer to it, but beyond that, I mean, the portfolio is pretty stable and things are going fairly well. Even the ones that you see there up in the top 10 list, there is a very good reason why Providence is depressed as Dave described, Let's Larry in some turnarounds into their coverage and that was basically one month, it was only September, they took over September 1st in those three Ohio assets.

So their coverage you might see going forward when the fourth quarter drops in could be even a little bit lower, but it's really not cause for alarm because the rest of the portfolio is doing fine and it is just the effects of a full quarter in those three assets on the overall number and then Premier we still really like those guys.

We're happy that the regulatory issues that we described to you before seem to be behind them now and it will take a little while for that coverage to pop back up because as you know. we report coverage on a quarter lag, but it is onward and upward for them right now, we're cautiously optimistic, but staying super close to them and every little thing that they're doing which we can't direct, but we can sure monitor closely for progress and to be sure there is no further cause for concern there. Is that helpful?

[Michael Carroll, RBC Capital Markets]

It is. So I guess -- just want to make sure I understand. So there is nothing new that you're tracking necessarily, it's just tenants that have tight coverage or recently transitioned that you're staying close to, but not necessarily expecting any type of problems here in the near-term?

[Greg Stapley, President and Chief Executive Officer]

Exactly.

[Michael Carroll, RBC Capital Markets]

Okay, great. And then, Bill, can you talk a little bit about the guidance change and I picked up I guess your G&A is up $0.02 for expected hirings. Can you talk a little bit about that. Who do you plan on hiring? It seems to be a pretty big tick up in G&A. Is this a senior person or is it just multiple lower level people to keep up with the growth?

[Greg Stapley, President and Chief Executive Officer]

Hey, I'm going to take that one. Mike. We -- I don't think it was full $0.02 for new hiring. There is some additional comp in there that's starting to flow in -- stock comp and other things that's impacting that, but we've -- if nothing else, we hope we're a learning organization and as we've progressed through some of the challenges that we had in the latter half of last year, we've come to realize that we are going to have to evolve a bit in order to prepare for the next five years.

So we've run this thing kind of on a shoestring with a skeleton crew for a while and it's just going to take a little bit more going forward as we mature. So we are going to be changing some of Eric's role and he's been our Director of Asset Management and portfolio management and tenant relations and he's been wearing a lot of hats and we actually want to expand what Eric is doing for us which means that we need to come back and backfill with some additional strength on the asset management side.

So we are going to be out here in the near-term looking for help in asset management and we expect that to be a fairly senior level person or people to help us sort of get to where we really want to be as a growing REIT.

[Michael Carroll, RBC Capital Markets]

Okay, great, thanks for that, Greg. And then just last question for me is -- did you disclose the expected loan payment that you plan on receiving in spring. I mean, how big is that and is there a specific operator that it relates to?

[Bill Wagner, Chief Financial Officer]

Hey Mike, it's Bill. Yes, that loan relates to the three properties we sold to CommuniCare. We now expect their financing to come through a lot sooner than what we had previously anticipated and that's really two loans. It's a mortgage loan as well as a working capital loan and they total about $32 million and now we expect to get them just after Q1.

[Operator]

Our next question comes from Connor Siversky of Berenberg. Your line is open.

[Connor Siversky, Berenberg]

Hi guys, thanks for having me on the call. Just a quick question on the property you picked up in Utah. Could you just touch on some of the market dynamics there, maybe what you like, what you don't like and if there is somewhere you'd be looking to expand the portfolio in the future?

[Mark Lamb, Chief Investment Officer]

Yes, this is Mark. I think in that particular part of Salt Lake City, just north of Salt Lake City, one -- this facility is located on-campus of a hospital. There is a Class A brand new build that is kind of attracting a different type of customer and the property that we picked up is I would say kind of A minus, B plus and is going to be a little bit more affordable, great physical plant, great location with respect to amenities and the ancillary services and just allows our operator who had a desire to grow his footprint up into Utah.

We've seen opportunities up there in the past and just haven't been able to to pair the asset with an operator that we liked and so in this instance, the stars somewhat aligned and our operator really felt like he could bring his model of working closely with health systems and insurance companies as well as obviously the private pay patients that were already there inside that facility. So he felt like he could bring his model that he is proving out here in Southern California and can expand it to Utah.

[Connor Siversky, Berenberg]

All right, thanks for that and then just a little more general skilled nursing, the certificate of new laws, are you seeing any plans or maybe any narrative of relaxation laws in any particular states?

[Mark Lamb, Chief Investment Officer]

No, not -- I think there had been talks about in Texas, they were handing out bed licenses and bed rights maybe a year, year and a half ago a little too easily. We've seen that kind of pare back a little bit. There is some discussion last year when the legislative session was open that maybe they would put some sort of stay on the ability for developers to attain bed rights, but that obviously didn't even make it to the floor. So I would say that's probably the last -- those were the last whispers that we have heard in the states that we know well, but no other discussions that we've heard of.

[Connor Siversky, Berenberg]

Okay, thanks and one last one from me, looking at 2019 investments, blended yield of 8.8%. Are you comfortable at that level, would you go any lower. Just kind of provide some kind of color going forward.

[Greg Stapley, President and Chief Executive Officer]

Yes, this is Greg. You know it's interesting we were just having a conversation about that yesterday and wondering if the lower cap rates demands that we're seeing from sellers are sort of becoming a new normal. I don't think it is, but it might be a little too early to tell. So look, what we've said recently and still believe is that while yields are important, coverage is more important and so we've increasingly placed a stronger emphasis on coverage going into the deals that we've been going into lately and if that means that we give up some yield and go below 9%, below 8.8% to get that, we're comfortable with that. Our cost of capital has been steadily ratcheting down over the past couple of years and we can still feel pretty good about our ability to get the spreads that we want, even at lower cap rates and the higher coverages.

[Operator]

Our next question comes from Todd Stender with Wells Fargo. Your line is open.

[Todd Stender, Wells Fargo]

Hi, thanks. And then Greg, kind of in that theme of coverage, with the newly built Cascadia of Boise, to make that financial commitment a couple of years ago, you obviously had some underwriting and some coverage assumptions, how does that play out compared to maybe what you'd underwrite it today.

[Greg Stapley, President and Chief Executive Officer]

I'm going to let Mark take that one, Todd.

[Mark Lamb, Chief Investment Officer]

I think it's -- there's obviously -- the building was still maturing I think when we closed on it. The occupancy was probably low 70s. Skilled mix was I think kind of mid-teens. So we expect probably on the skilled mix side to that will level out probably in the mid to high-20s and occupancy, we would expect to see probably in the high-80s, low-90s. So we feel like there is definitely some runway left for that asset.

Cascadia's overall portfolio coverage is very, very strong. So we're not -- we actually triggered the option, call it a little bit earlier because our coverage was so good and that allowed them to kind of keep rents at numbers that they felt like were manageable, but then also felt like our coverage still had room to run. So I think it will be interesting when that asset levels out. We would expect it to be well north of 1.5.

[Todd Stender, Wells Fargo]

All right, that's helpful and then, not sure if I missed this, with the Priority Life Care transition to Noble, we see a lot of transitions just with operators getting swapped out and this one, it sounds like the way you guys describe it no rent leakage, but certainly there's a lot of mechanics behind this. Can you speak to Noble? Can you speak to what triggered the transition and then maybe any financial or CapEx commitment you're making to the facilities?

[Mark Lamb, Chief Investment Officer]

Well, sure, what triggered the transition was a conversation last year with the outgoing operator, Priority Life Care about their outlook for the facilities and their strategic decision as a company to want to focus more on kind of the consulting and management fee business as opposed to owning the operations outright. We took that opportunity to look for a new operator and found Noble and we've been really pleased with them. We've committed some CapEx dollars to these facilities and will help them to reach their goals of maximizing the census potential that's there. It was kind of a story of an operator that is switching their strategy and at the same time finding another operator who's strategy really fits these buildings perfectly well and so we're able to make that change.

[Todd Stender, Wells Fargo]

All right, that's helpful. And just last one, the seller financing that you're providing for Metron. The loan payoff period seems pretty tight. They have to pay it back by the end of March. I assume they're not getting HUD financing that takes forever, but what kind of the access to capital do they have and if they don't pay it off on time, what are some of the assumptions there?

[Mark Lamb, Chief Investment Officer]

Yes, so they're going to be pursuing a bridge to HUD financing and really the only reason we stepped into to do the seller financing like we did is because a couple of things. It really brought certainty to the transaction as soon as humanly possible after the State of Michigan approved the CON and the licensing would be approved.

So we wanted to -- as soon as we got that approval, we wanted to be able to close just to bring certainty and closure to the deal and it provides us with a little bit more income as we will be able to get interest income for the second half of February and all of March that we wouldn't have gotten otherwise. So that's really what was behind it, it is just being able to bring this transaction which had started -- which is a lengthy process, particularly with all of

The dynamics involved with this operator and in Michigan to an end.

[Operator]

[Operator Instructions] Our next question comes from John Kim of BMO Capital Markets. Your line is open.

[John Kim, BMO Capital Markets]

Thanks, good morning. I was wondering if you could comment on Premier and its ability to stay current on rents. It looks like your assets with them represent almost half of their managed communities and I know you expect some stabilization, but I was just wondering about their financial stability.

[Mark Lamb, Chief Investment Officer]

I'm sure that we can say much more than the color we have given last quarter and on this call today. Their current -- we've got personal guarantees. They are performing better today than they had in the quarters that you're looking at on the coverage slide. So we don't have any reason to believe that they won't be able to continue to pay the rent.

[John Kim, BMO Capital Markets]

I think Bill you mentioned on an earlier answer to your question about the CommuiCare loan being paid down early, but I thought you mentioned on the last call that you expected that to be paid out in March. So I just wanted to clarify that statement.

[Bill Wagner, Chief Financial Officer]

On the last call I had that CommuniCare loan being paid off later in 2020 than what I have in this round of guidance. So if I misstated, then I apologize. I don't think I did though.

[John Kim, BMO Capital Markets]

I wasn't sure if it was that or if it was related to the Trillium financings. So I'm not sure if that's the same assets.

[Bill Wagner, Chief Financial Officer]

No, both the loans, the loan that got paid off in Q4 as well as this CommuniCare loan I had extended in the back half, I had being paid off in the back half of 2020. I mean that's accounting for about $2.4 million to $2.5 million of change from last quarter to this quarter in the guidance.

[John Kim, BMO Capital Markets]

Have you utilized the ATM in January?

[Bill Wagner, Chief Financial Officer]

No, we have not.

[John Kim, BMO Capital Markets]

Is there anything we should read into that just the lack of utilization both at the fourth quarter and this year as far as the potential timing of acquisitions.

[Bill Wagner, Chief Financial Officer]

I wouldn't read into it. I mean, our net debt to EBITDA is at an all-time low. Interest rates are at an all-time low to use a little -- to run the line out a little bit seems practical to me, but again the ATM is another great tool in our toolbox.

[Greg Stapley, President and Chief Executive Officer]

Yes, John, it's Greg. I would just add that, you know, we've always viewed the ATM as a perfect vehicle for match funding our acquisitions, but if you look at what's happened, we've had some acquisitions in the past four months, but we've also had the loan repayments and the sale of Metron coming and just felt like we didn't really need to turn the thing on because we were going to have the capital to redeploy. So that's really the whole story right there.

[John Kim, BMO Capital Markets]

So as far as acquisition volume on a net basis this year, do you think it's going to be closer to $340 million like you did last year or $112 million like the prior year.

[Bill Wagner, Chief Financial Officer]

We be sure hope so. I mean it's so hard to make a prediction like that, John, because you can have a pipeline that's $340 million and I think that you're going to close most of it and then for some reason you only closed a little of it. So we will announce those deals as they come. We certainly have our own hopes and goals but it is definitely a tough environment out there. Tough -- it's a bit of a seller's market and PDPM creates sort of a complication or overhang on valuations and we're just working through all that, but as we said in our prepared remarks, we do believe that we will get our fair share of the transaction volume.

[Operator]

There are no further questions. I'd like to turn the call back over to Greg Stapley for any closing remarks.

[Greg Stapley, President and Chief Executive Officer]

Thanks everybody. We really appreciate you being on the call today and if you have additional questions, you know where to find us. We're always open to talk. We'll be out and about over the next few months at several conferences -- investor conferences and other things. So we look forward to seeing you. Take care.

[Operator]

Ladies and gentlemen, this concludes today's conference call. Thank you for participating and you may now disconnect. Everyone have a great day.