Brookdale Senior Living Inc. (BKD)
NYSE: BKD · Real-Time Price · USD
13.24
-0.26 (-1.93%)
May 28, 2026, 2:14 PM EDT - Market open
← View all transcripts

RBC Capital Markets Global Healthcare Conference 2026

May 20, 2026

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

Thank you for joining us today. We're pleased to host Nick Stengle, the Chief Executive Officer, and Dawn Kussow, Chief Financial Officer from Brookdale Senior Living. I'm Ben Hendrix, Healthcare Services and Managed Care Analyst here at RBC. Thank you guys very much for joining us. I think Nick has a couple of opening comments, and then we'll get right into Q&A.

Nick Stengle
CEO, Brookdale Senior Living

Excellent. Thank you, Ben. Thanks for having us first and foremost. Just a couple things, this really ties into our Investor Day that we did back in January. We talked about the different eras, the different chapters of Brookdale. I wanna reiterate that we are entering kinda the next chapter, the next phase of the Brookdale story, really informed, defined by the past. As we look forward to the opportunity to grow, to take a more offensive posture now that we have a lot of the burdens of the past behind us, namely COVID, namely some of our cashflow issues, being positive cashflow for the first time in a long time, last year and projecting to be the same in even more meaningful way this year. New leases.

Truly, what it is really about is about a new team with the right organizational structure, and this idea that we're an operating company, first and foremost. I'm sure many of the questions will take us down that path. But excited to open up the new chapter of Brookdale as we look towards the future with an eye towards the past as well.

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

Great. Thanks for that. I wanna just jump in with just a little bit of a follow-up from some of the trends in the quarter. you know, you had noted high single-digit in-place rent increases on January 1, and noted more highly occupied communities receiving low double-digit increases, while lower occupied communities receiving a mid-single-digit. Can you walk us through the decision framework behind your tiered approach? How are you thinking about the trade-offs between the rate and the move out risk at the community level?

Nick Stengle
CEO, Brookdale Senior Living

Yeah. No, great question, Ben. As you mentioned, and I'll repeat it.

In aggregate, across all our communities, all our units, the aggregate and headline number is that high single- digit in-place rate increase that we put in effect on January 1st, much as our peers do within a kind of an annual structure. As you did highlight, and we have talked about, we do bifurcate that quite a bit. Highly occupied communities, and it affects even more than just communities. Really, it's the product type. If you're a highly occupied memory care versus AL versus IL, the decision-making is very different. In fact, when it's highly occupied, and we'll use 90% just as a nominal benchmark of what highly versus not highly occupied is, we will actually, and we did actually push a low double- digit rate increase.

We do that because obviously the occupancy implies that we have a great product, we're in a great market. The customers, our residents value that product, and we have the pricing power to do that. Conversely, we do have communities that are not highly occupied, so anything below 90%, maybe even all the way down to 70%, 80%, where we don't have that pricing power for whatever reason, whether it's the market, whether it's the own product or service we're providing. We are gonna do something different because we're really trying to drive our overall occupancy. The real headline number really needs to be RevPAR.

As we think about how we do this more highly occupied, to get to our 8%-9% RevPAR guidance for the year, we have to drive mostly through rate, since occupancy is really not available. Conversely, on that lower side, we obviously drive it via more via occupancy as opposed to rate. It really is kind of a two-speed decision-making where premium pricing and discount pricing are working concurrently across our 500+ community portfolio.

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

Yeah. Maybe we could stay on that track a little bit and talk about, you know, the RevPOR piece on the lower end. I know the overall same store RevPOR was up 3.4% in the quarter. When that was weighed a little bit by some of the annualization of concessions you'd taken in 2Q and 3Q of last year. Can you help us think about the trajectory of that same store RevPOR through the rest of the year, as those concessions roll off, and what kind of a normalized RevPOR growth rate could look like for the portfolio as it stands?

Dawn Kussow
CFO, Brookdale Senior Living

Yeah. If you look at our RevPOR, our same store RevPOR, increase year-over-year, the 3.4%. Really, if you look at the sequential fourth quarter of last year to first quarter of this year, our RevPOR on a same store basis increased 6.3%, and that's really where you see that flow through of that high single- digit rate increase that we talked about. We typically see about 2/3 of that rate increase flow through to our RevPOR. That's really where you're gonna see that increase. On a consolidated basis, 4.5% of a RevPOR increase, so that was lifted a little bit by the disposition accretion that we've been talking about. You know, typically, our RevPOR will trend down every quarter.

We see our high in-place rate increase in the first quarter, then it'll typically step down with acuity and then discounting that, you know, strategic discounting that we'll do throughout the year. This year is a little bit different, where we expect that RevPOR to step down in the second quarter, then we expect it to hold firm in the third and fourth quarter because we are gonna get that accretion impact that's going to generally offset that normal seasonal step down that we see. You know, as we think about our RevPOR, you know, going out, you know, just as Nick said, we're very much focused on RevPAR.

It's this two-speed approach that we'll always look at, number one, what is our occupancy and balancing rate and occupancy, and then always looking at making sure that we're gonna get a RevPOR and ExPOR spread as we're thinking about, you know, the out years on our RevPOR.

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

Great. Before we go into the cost side, I wanted to talk a little bit about the higher occupied units, 15%, the consolidated portfolio, 95% occupancy, and that you've noted that you're seeing strong pricing power there. How should we think about the rate ceiling for those assets? You know, and then where is the risk of, you know, of risky move-outs at that point?

Nick Stengle
CEO, Brookdale Senior Living

Yeah, great question. We often get this question from investors. You know, once the industry goes to 95% occupancy, once specific markets hit 95%, 96%, 97% occupancy, what does that mean? Again, I firmly believe that is where our industry is going. You know, Brookdale will be a part of that, but the entire senior living industry, based on the supply-demand dynamics, the undeniable kind of setup that we're in over the next several years, what does that look like? Well, I kind of already hinted, we have communities that are 95% and 100% occupied on wait lists. What does that mean? That means we're able to drive a low double-digit rate increase without any real impact on move-outs, without any real impact on our wait list.

I think a lot of our peers who also publicly report, whether it's a REIT or otherwise, have kind of shown that same pricing power exists as that occurs. Again, it's very much just as much about the market filling up as it is individual communities because all those communities will draft. That's, that's I think the path that we're on, again, based on the low supply and the high demand.

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

Great. I'm gonna look ahead for, you know, kind of 2Q in the second half and how you're thinking about the progression. You provided some great notes on slide 12 of your investor deck. April, we know that April consolidated occupancy was up 30 basis points sequentially, well above the historical 10- 20 basis points that you typically see in that progression. You know, entering what you describe as a key selling season, May through September. What specific operational changes have given you confidence that, you know, the momentum we are seeing is sustainable? What are the key variables that could cause you to miss or beat 2H occupancy ramp?

Nick Stengle
CEO, Brookdale Senior Living

Yeah. I talked about this a bit during our most recent earnings call.

Through Q4 and Q1, really the last year, and a bit of it predates me, we've gone through a lot of changes. Massive organizational changes, how we're structured, part of it being me stepping in as the new CEO, the third one in, just under a year. New COO, changing our ops, sales, clinical structure. A lot of changes, which again, set us up for success. They are almost prerequisites. They're really grabbing on this to the supply-demand dynamic. As we look forward to the rest of the year, those changes are gonna be further and further in our rear view mirror. We're more or less stabilized, as far as the organizational structure, defining who we are as a company.

Concurrently, we have disposed, gotten out of leases, management agreements, our own owned, a handful of owned assets, of nearly 100, actually over 100 in the last year as well, which is very disruptive. I mean, it's constantly changing who is who reports to who. As we have articulated pretty clearly, that story is pretty much done. We have a handful still we have to complete through the remainder of this quarter, maybe one or two stragglers for the remainder of the year. The massive step changes that have occurred as far as who we are as a company, the portfolio we have, the people we have, and how they're organized, those have more or less stabilized really in the last couple of months, right in the middle tail end of Q1.

As we look towards the future and what that looks like, it's this realization that we're a stabilized company for the first time in many, many years. We have a leased portfolio, a lease segment that is generating free cash flow that is accreted to the business, so we don't have to worry about that drag. We have the structure, we have the team. Again, feeling very confident on what the remainder of the year will look like. You mentioned May to September selling season. That is correct, and that's why we're excited. Really, it's more June, July is really where it ramps up, but we're looking for a very strong May, just as we had a very strong April.

We're kind of setting up for what this will look like for the rest of the year, which kind of reiterates our guidance and why we feel confident in our ability to strike our EBITDA and our overall RevPAR guidance for the year.

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

Seems to set the stage well for your second half ramp that you're projecting in 3Q and 4Q. Can you kind of talk about how you're thinking about that or how we should think about that, you know, from a, you know, driven more by occupancy or G&A and kind of the mix there that kind of drives that EBITDA acceleration?

Dawn Kussow
CFO, Brookdale Senior Living

Yeah. I think the second half ramp in our EBITDA is really driven by the same community underlying performance. We have occupancy, we expect to continue to see that RevPOR and ExPOR spread as we grow our occupancy. Maybe three primary tailwinds that I would talk about is, like Nick just said, third quarter is typically when we see our occupancy increase seasonally. We've driven a high single-digit rate increase price, we expect to hold our price. This year, we really have more communities above that 80% fixed cost threshold, that RevPOR, ExPOR spread gets larger as you drive your rate, you have You know, you control your costs. We'd expect that flow through.

In the back half of the year, we also are going to get a little bit of an accretion impact on adjusted EBITDA, just typically from the dispositions that we're doing kind of in the front half of the year. You know, from a G&A perspective, you know, we've exited the managed contract business, and so we have, you know, we'll have $1 million of management fees from second quarter to fourth quarter in total. The step down in our management fees in the first half is really where the G&A savings are offsetting, you know, that step down in that revenue.

Nick Stengle
CEO, Brookdale Senior Living

I'll also add in, I believe it's either in slide 18 or 19 of our investor deck, and it jumps around from quarter- to- quarter. We have a slide that we've included for several quarters now that shows the EBITDA that is generated per unit in the different occupancy bands.

It's a pretty striking number, and really that is what informs kind of our overall projection, our earnings guidance for this year, our multi-year projection. It's pretty striking. I would ask that you take a look at that 'cause that really drives the entire conversation. I'm gonna do this from memory, which is always a little dangerous, but I believe our lowest occupancy band, the EBITDA per unit for those units is $4,800 per unit annualized. You take a similar unit, but now it's in a highly occupied community, call it 90%+ , and it's now nearly $20,000. A 4x increase in EBITDA per unit with really, you know, obviously that's the fixed cost operational gearing, operational leverage that exists.

The idea is that the kind of the projection is over the year, this year, and even more so in the future years, as our occupancy increases and we have more and more communities, more and more units shifting up that slide from the lower occupancy to the higher occupancy, the EBITDA accretion, just only ramps up even more. That's kind of the real fundamental underpinnings of our profit guidance.

Dawn Kussow
CFO, Brookdale Senior Living

Yeah. Maybe just even to put a finer point on exactly what Nick Stengle said is if you even look at the sequential fourth quarter of last year to first quarter of this year, that EBITDA growth, particularly in the higher bands, you can see the significant increase on a per unit basis going. That's a lot of just the rate increase that we put in place and just how that flows through. It exemplifies.

Nick Stengle
CEO, Brookdale Senior Living

Yeah. The pricing power you have at those higher occupied units.

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

Great. Just the just to close the loop on that, the cost differential between those bands, is it material, or can we attribute most of that increase that you just discussed to pricing, you think?

Dawn Kussow
CFO, Brookdale Senior Living

Yeah. I would say it's the flow through of the higher price because you have natural inflation, you have natural resets on all of the every one of those bands.

You'll get, you know, most of that is the flow through of the pricing.

Nick Stengle
CEO, Brookdale Senior Living

Yeah. I mean, obviously there is some variable cost. Food comes to mind immediately. The reality is there's quite a bit of fixed cost associated with running any community, whether you're sitting with one resident or 200 residents. Obviously, there's some variability, and that's really where that is driving. The expense base is more or less mostly fixed as you go up those, and yet the revenue increases.

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

On a related note, let's switch over to your portfolio optimization and progress you've made there. You've exited over 100 communities since the start of 2025. You've expect to close the remaining 19 owned dispositions, mostly in 2Q for a total 2026 proceeds of approximately $200 million, is what you signaled. And those transactions are complete. You said you do not foresee any significant further portfolio changes. How should we think about the steady-state portfolio in terms of size to owned versus leased mix, geographic concentration, and how does that compare to the kinda optimal portfolio that you've talked about in going back to your Investor Day?

Nick Stengle
CEO, Brookdale Senior Living

Yeah. All the numbers you said are spot on. It's always dangerous in businesses words like never and always. I'll go as close as I can. We are in effect at the trough of the Brookdale story when it comes to our portfolio. We peaked, and I think this goes back to 2014, well before me, obviously, where we are, I think just shy of 1,200 communities. It was just right after the Emeritus acquisition. Really every year since then, for the last 12 years, we've just shrunk our portfolio ever so slightly year to year to year. It's come in all three forms. The management agreements have gone down. Our number of leased communities have definitely gone down, especially in our most recent lease reset.

Even our owned, even though that's remained relatively stable, believe it or not, which is actually fascinating. The overall kind of structure's gone down. We're projecting and the idea is as soon as we dispose of the remaining 19, we are at the trough, and that is our go-forward portfolio. Again, I use the words right team, right organizational structure, right portfolio, and that is exactly right. It's not just the numbers. It's not that the 517 consolidated number that we've been describing. It's where they are. It's in the markets we wanna be in. It's in the states we wanna be in.

In fact, if anything, we are gonna take a little bit more of an offensive structure, and it might go up to 518 or 519 or 520, 521. If anything, we're actually looking to do targeted acquisitions for the first time in a long time. Part of that is, some of the leases that we have buyout options. We will contemplate those very seriously as the opportunity arises. We are actively looking at small, individual, very targeted acquisitions in markets that we're already in, but we wanna be in even more meaningfully. We are in, call it, 125 markets today. Zero desire to be in 126. 41 states today. Zero desire to be in 42 states. We are where we are, where we wanna be.

It's just a question of how do we fill in and really create critical mass density in markets that we're already in.

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

Mm-hmm. One question we've gotten recently, maybe just to follow on to that, how would you frame up your core markets? We think about what does a Brookdale market look like versus like SHOP portfolios and mostly in the rest of the industry. You know, how would you characterize the advantage of your marketing positioning?

Nick Stengle
CEO, Brookdale Senior Living

Yeah. We're in basically any market, metro market in the U.S., except for maybe Midtown, New York City, where we are right now. In effect, name a city in the U.S., top 80, 90 cities, and we have a presence, and typically we have a meaningful presence. By meaningful, 2, 3, 4, 20 communities in the case of the Dallas-Fort Worth metro market area. What that means is we can cover the entire geography of the city. Because typically when someone is shopping for senior living, a family member, it is truly hyperlocal. It's not just I want my loved one to be in Dallas. It is I want them to be in this specific part.

I want them to be in Frisco, McKinney, Plano, you know, a specific area. We have that option. We, you know, whether they walk into a Plano community, we have a Frisco option for them. Oh, by the way, the next part of it is the product type. Memory care, AL, IL, obviously a very important part of the decision. There's also pricing points. The reality is we have many different choices and many different options for someone who's looking for the senior living product, the senior living service within a market that we can cross-sell within a market. That's one of our strengths and something we're really leaning in on. In fact, one of the adages I've started saying is we're not gonna win community by community. We're gonna win market by market.

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

You're now approximately 3/4 owned, 24% leased, about thereabouts. Our lease portfolio has historically been a drag on cashflow, but you've noted that it's now adjusted free cash flow positive and performing well on an NOI basis. With the Ventas lease dispositions now in the rear view mirror, your cash lease payments are down about $20 million year-over-year. How should we think about the lease portfolio's contribution to EBITDA and free cash flow as we move forward?

Dawn Kussow
CFO, Brookdale Senior Living

Yeah. We're extremely pleased with the lease portfolio. We've reduced our portfolio by about 60 communities, about just under 40% of our units. I think really I would point to our supplement. We do a separate page for our lease performance.

You can really see in the first quarter of this year that as we disposed of, most of those communities got disposed in the third and fourth quarter of last year. Our margin is up over 33%. We have our RevPOR, our RevPAR that have increased. Our lease portfolio is cash flow positive. We have aligned our interest. As we renegotiated leases, we aligned our interests with our REIT partners. What they will do is they'll provide CapEx dollar funding, and so it really helps us from an adjusted free cash flow perspective. As you pointed out, that portfolio is adjusted free cash flow positive and really contributing to the overall value of the company now, as opposed to in the past it wasn't.

I think maybe the last point that I'd make on our lease portfolio is that as we renegotiated those leases, really our escalator, it's effectively a fixed 3% escalator across our portfolio. As we think about our cost structure going forward, to have that escalator at something, at as low as a 3% fixed escalator in general, is, you know, something we're really pleased with.

Nick Stengle
CEO, Brookdale Senior Living

I mentioned earlier, some of our leases have purchase options.

Kinda built into the structure. Again, very excited. You know, first time in a very long time, we love our lease portfolio. It is a very accretive and is a meaningful part of our business. Not the minority. We're still the third largest senior living owner of real of senior living real estate, but it is a big part of our business as well.

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

I wanted to transition over to CapEx. You know, there's $175 million-$195 million in CapEx in your guidance for this year. You know, you highlighted in your deck some really nice ROI examples, you know, of how you're deploying that. You know, there's a large pipeline of communities, you know, that we're meeting your return hurdle for comprehensive refresh. How do you prioritize between the routine maintenance CapEx and these higher return discretionary investments?

Nick Stengle
CEO, Brookdale Senior Living

In the past, and even last year, I think we spent a net of $171 million of CapEx. Our CapEx methodology was more an allocation methodology. In other words, if you were a big community, you'd get $500,000 . If you're a medium size, you'd get $200,000. If you were small, you'd get $100,000. It sort of didn't align with a real return and the value of spending that CapEx. It was just, you know what, it made sense. Typically what a community would do is they would take their small allocation, and they might have enough money to replace a bunch of dining room chairs and dining room tables. That community might very well have been a 95%+ occupied community. In other words, the story I'm painting is the incremental NOI.

There's probably not an incremental move-in generated or an incremental move-out that was saved because of that CapEx spend. We're taking a very different approach, and part of it is hiring our Senior Vice President of Strategic Operations, a gentleman named Clark Jones, who's now leading this, where we have very comprehensive, very focused capital deployment programs. That slide 19, which is what you were just referencing, shows three of those in very recent history and the success we've had, whereby we're taking our funds and putting them in projects where there's a real return, where we generate a pro forma, we measure that pro forma, and we can get a return.

Usually that return is in the form of higher occupancy, whether it's move-ins or saving move-outs, where we can fill unoccupied units very rapidly because of comprehensive type of projects.

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

Another correlated question that we've been getting lately is when people kind of look at your portfolio and comparing it to SHOP portfolios with REITs, is they're looking at your, you know, your implied gross CapEx per unit, which I think right now is around $4,400. Just to be sure, that includes your high ROI projects.

But is before lessor reimbursement. Is that correct?

Dawn Kussow
CFO, Brookdale Senior Living

Correct. That's correct.

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

Okay. As we think about that going forward, is there going to be a period where maybe some of the higher ROI investments start to get filled and level off, and we plane out at a lower level of, I guess, of maintenance, or would that higher ROI investment continue indefinitely?

Nick Stengle
CEO, Brookdale Senior Living

Yes. I mean, our list of projects is prioritized based on the return we can achieve.

Obviously, as we dig deeper and deeper and deeper, that return starts getting closer to our hurdle rate, at which point we will deploy capital in a different way. The $175 million-$195 million EBIT or CapEx projection for this year holds true for this year. I have to believe it'll be maybe roughly the same next year, at some point that will likely start dialing down. We'll start hitting a more typical capital deployment cycle rotation, just like hotels do, just like big, you know, fixed asset intensive companies do. I do see that potentially or definitely going down as the returns start getting closer to our hurdles.

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

Wanted to move over to, you know, the cash flow, seasonal outflow of $12 million in 1Q, and that included, you know, your annual incentive compensation payments. You know, as occupancy continues to build through the year, which we've discussed, and, you know, your dispositions generate that $200 million of expected proceeds, how should we think about the free cash generation in the second half and your ability to reduce leverage from the current, I believe you're at a little under 9x right now. And your, you know, to get to that target of 6x or lower by 2028.

Dawn Kussow
CFO, Brookdale Senior Living

Yeah, absolutely. The leverage target that we talked about is driven by the adjusted EBITDA growth. You can look at the progress that we've made. We have a slide in our investor presentation.

It just shows the progress that we've made just from our adjusted EBITDA growth, and kind of growing out of our leverage. At 8.8x , the roadmap to get to that below 6x is, a significant amount of that is through adjusted EBITDA growth. We've talked about mid-teens growth over the next several years, that is, you know, the largest portion of that. The fact that we have the dispositions, we talked about $200 million in proceeds. That certainly will come into play in our leverage calculation, certainly not the driver of that decrease in our leverage.

Ben Hendrix
Healthcare Services and Managed Care Analyst, RBC

I think that brings us to time. Thank you very much for your time today.

Nick Stengle
CEO, Brookdale Senior Living

Excellent. Thank you, Ben.

Dawn Kussow
CFO, Brookdale Senior Living

Yeah. Great. Thank you, Ben.

Powered by