Selling a skilled nursing facility in New Hampshire

New Hampshire at a glance

New Hampshire has 73 Medicare- and Medicaid-certified skilled nursing facilities with 7,326 certified beds, and on average 81.0% of those beds are occupied, above the national average of 80.3%.

Source: CMS Provider Information file, August 2026. The full New Hampshire picture, rates and every building are on SNFRadar, the market record we built and publish free.

What a buyer reads first in New Hampshire

The numbers a buyer pulls before the first call, for the typical New Hampshire building against the nation. Your own building's are on its SNFRadar page.

Sources: CMS Provider Information file, August 2026 (occupancy, staffing, turnover, star ratings: averages across certified buildings); Medicare cost reports (full-year filings), as SNFRadar compares them (medians, the same figures each building's SNFRadar page is compared against).

What moves value in New Hampshire

Occupancy. 81.0% of New Hampshire's certified beds are occupied, in line with the national 80.3%, so a building's own census against its county's is what separates it.

Payer mix and the Medicaid rate. Medicaid pays for 66% of resident days in the median New Hampshire building, close to the national 66%. Small shifts between Medicaid and Medicare census move value, which is why buyers ask for census by payer, month by month. New Hampshire's Medicaid rate files are on SNFRadar.

Revenue and margin. Net patient revenue runs $420 per patient day in the median New Hampshire filing, above the national $373, and the median net margin is 1.3% against 3.6%. With thin margins common, buyers price on what they can fix, so a seller who can show where the costs sit gets paid for it.

Staffing. New Hampshire's buildings average 3.90 nurse staffing hours per resident per day, close to the national 3.86, and nurse turnover runs 44.1% a year, close to the national 45.8%. Agency use is the line buyers check next.

Inspection record. 47% of New Hampshire buildings are rated four or five stars by Medicare and 42% one or two, against 40% and 41% nationally. Every buyer reads the last three inspections before pricing; each building's are on its SNFRadar page.

Size and ownership type. The average New Hampshire building has 100 certified beds, against 107 nationally. 62% are for-profit, 22% non-profit and 16% government, and 45% are part of a chain.

Where the beds are

New Hampshire's largest counties by certified beds. Each opens that county's buildings on SNFRadar.

How a sale works

1. A first call. What you want from the sale, and when. No listing, no blast.
2. A value from the record. Your building's own numbers and the trades around it. How valuation works
3. Vetted buyers under confidentiality, bidding against each other, not against you.
4. Letter of intent, then the purchase agreement and the operations transfer agreement. The full process
5. Change of ownership. New Hampshire's licensure filings plus Medicare and Medicaid, timed so billing does not stop. CHOW and Medicaid

Our recent closings

All five closings, with the press coverage they drew.

Questions owners ask