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Deal alert · Ohio · May 2026

Resilience wins.

3G Healthcare Real Estate closes a 99-bed Ohio SNF transaction at ~$106,000 per operational bed, through two buyer fallouts, a mid-process Medicaid rate cut, and a closing-day zoning crisis.

$10.5MAll-cash close
~$106,000Per operational bed
99Beds

“You guided us through every twist and brought it home.”

Seller praise

The challenge

A 99-bed Ohio SNF owner faced cascading obstacles that threatened to unwind the transaction at every stage. An initial buyer walked away after declining to convert from a lease-only structure. A second buyer signed a competing contract, then collapsed.

Mid-process, an Ohio Medicaid rate reset stripped the facility of quality points, dropping per-diem reimbursement by roughly $50 per day. Hospital discharge volume softened, pulling census from the high-80s into the low-80s. The seller’s senior lender pushed for an exit while disallowing any lease alternative. Indemnification scope, CHOW timing, and an eleventh-hour zoning report requirement at the closing table each threatened to derail the deal.

What 3G did

  • Re-engaged a previously sidelined qualified buyer after a competing offer collapsed late in the process.
  • Restructured deal economics from cash-plus-seller-note to all-cash $10.5M to eliminate financing friction and seller tax exposure.
  • Quarterbacked simultaneous OTA, APA, and CHOW negotiations across rotating seller counsel and buyer counsel.
  • Resolved a closing-day zoning report requirement that had paused bank funding.

The result

The deal closed all-cash at $10.5 million, approximately $106,000 per operational bed, after surviving two buyer fallouts, an Ohio Medicaid rate cut mid-process, a star-rating reset, and a closing-day zoning crisis.

By keeping multiple qualified buyers engaged, restructuring deal terms when financing conditions shifted, and quarterbacking simultaneous counsel negotiations through OTA, APA, and CHOW, 3G delivered a clean exit on the seller’s required timeline despite a deteriorating reimbursement and census backdrop.

ValueAll-cash $10.5M close despite a rate-environment shift mid-deal.
SuccessClosed at approximately $106,000 per operational bed.
ExpertiseMulti-buyer pivot, deal restructuring, and closing-table problem solving.

Download the deal sheet (PDF)

Selling in Ohio? Read selling a skilled nursing facility in Ohio.