Senior Housing Exit Strategies: What Happens After Year 5?

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The investment horizon ends—but your opportunities don’t.

In most senior housing syndications or joint ventures, the typical hold period is 5 to 7 years. But what happens next can significantly impact your returns, tax planning, and reinvestment opportunities.

This blog breaks down the four most common exit strategies investors should understand before signing on.


Refinancing the Property

What it is:
Replacing the original loan with a new one—often at a higher valuation—allowing owners to extract equity without selling.

Why it works:

  • The property has stabilized, NOI has improved, and cap rates are favorable.

  • A cash-out refinance lets LPs receive a distribution, often tax-free.

Pros:

  • Retain ownership and upside

  • Often tax-advantaged (no capital gains)

  • Can reset debt terms for better cash flow

Cons:

  • Subject to interest rate market

  • Debt service may increase

  • Requires re-underwriting and lender approval


Selling the Asset

What it is:
A full sale to a third party (institutional buyer, REIT, family office, or another sponsor).

Why it works:

  • The property is fully leased, expenses are optimized, and market demand is high.

Pros:

  • Clean exit with full capital return

  • Potential for large upside (equity multiple realized)

  • Frees capital for new investments

Cons:

  • Triggers capital gains tax

  • Loss of recurring income stream

  • Timing matters—market cycle can impact pricing


Recapitalization (Recap)

What it is:
Bringing in new equity partners who buy out original LPs at a new valuation, while retaining the GP or operator.

Why it works:

  • Allows original investors to exit

  • GP continues operations

  • New partners receive stabilized, cash-flowing assets

Pros:

  • Partial liquidity event for LPs

  • Continuity for GP and operations

  • Great when buyers are scarce but performance is strong

Cons:

  • Complexity in deal structuring

  • May dilute original ownership

  • Can result in valuation negotiation friction


Hold and Extend

What it is:
Continue ownership past Year 5 due to favorable cash flow, appreciation potential, or market timing.

Why it works:

  • Asset is performing and still generating strong returns

  • Investors agree to continue distributions

Pros:

  • Continue receiving passive income

  • Delay taxes on capital gains

  • Maximize long-term appreciation

Cons:

  • Investor liquidity delayed

  • Potential capital expenditures down the road

  • Requires unanimous or majority investor approval


Exit Strategy Comparison

StrategyTax EfficiencyLiquidityRetain OwnershipTypical Use Case
Refinance✅ High✅ Moderate✅ YesCash-out while keeping asset
Sale❌ Low✅ High❌ NoMarket is strong, full exit desired
Recapitalization✅ Moderate✅ Partial✅ PossiblyTransition ownership, keep ops in place
Hold✅ High❌ Low✅ YesHigh-performing asset, no better alternatives

Smart Investors Plan the Exit at Entry

Whether you’re an LP or GP, the most profitable exits are engineered on Day One. That’s why all Haven Senior Living Partners offerings include:

  • Defined target hold period

  • Multiple modeled exit scenarios

  • HUD 232 assumable loan analysis (if applicable)

  • Refinance and recapitalization modeling


Want to See Exit Scenarios Modeled on Our Current Offering?

Contact Us to view a sample exit analysis and understand how our conservative underwriting and flexible deal structures protect and multiply investor capital.

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