COMMERCIAL/MULTIFAMILY POLICY TRACK: Healthcare Lending: Opportunities and Challenges in Senior Living
Explore the evolving landscape of healthcare lending for senior living facilities, including assisted living, skilled nursing, and independent living. This session will dive into current market trends and challenges such as staffing shortages, Medicare and Medicaid funding dynamics, and regulatory pressures. Gain insights into lending opportunities through FHA, GSE, and private financing programs, and discover how lenders can adapt to meet the growing needs of America’s aging population. Ideal for industry professionals seeking to understand the complexities and opportunities in this critical sector.
Speakers
Moderator
Ritchie Dickey is the Chief Underwriter at White Oak Healthcare Finance (WOHCF). He has been involved in the FHA/HUD origination and underwriting business for 18 years. Prior to joining WOHCF, Ritchie was a senior underwriter within the Lancaster Pollard affiliate of ORIX Real Estate Capital where he most recently served as Deputy Chief Underwriter. In addition to his role as Deputy Chief Underwriter, Ritchie served as a member of the firm’s credit committee, and as the firm’s primary underwriter for FHA 242 (hospital) transactions, USDA CF transactions, and municipal bond underwritings. Ritchie has focused his efforts on the analysis, underwriting, and execution of senior living and healthcare transactions across a broad range of rehabilitations, acquisitions, new construction, refinances. He has a thorough understanding of both conventional and federal financing structures for both taxable and tax-exempt borrowers, including the FHA/HUD, and USDA loan programs. He has worked on over 300 transactions totaling over $5 billion. Ritchie earned his MBA from Emory University’s Goizueta Business School and graduated with honors from Georgia Tech. He holds General Securities Representative licenses, Series 7 and Series 63, and a Chartered Financial Analyst (CFA) charter.
Speakers
Mr. Harper is a Managing Director at Lument where he co-manages the firm’s Fannie Mae and Freddie Mac agency financing for seniors housing. Mr. Harper has been in the lending industry since 1994 and has specialized in seniors housing and healthcare since joining RED Capital Group in 2001. Mr. Harper joined Lancaster Pollard in mid-2016 and has closed more than $2.5 billion in seniors housing and healthcare loans to date with a predominant focus on Fannie Mae and Freddie Mac seniors housing agency financings.
Alison Lemle is Managing Director with VIUM Capital. In her role as Chief Underwriter, Ms. Lemle is responsible for overseeing all aspects of healthcare underwriting as well as the training and development of the credit team. Ms. Lemle has 17 years of FHA Underwriting experience, including 11 years in either the Deputy Chief or Chief Underwriter Role, and has underwritten over $2 billion of Section 232 transactions. Ms. Lemle joined VIUM Capital in January 2022 as the Chief Underwriter. Prior to that role, Ms. Lemle spent 15 years at Lument and served in both the Deputy Chief and Chief Underwriter roles. Ms. Lemle received a Bachelor of Science degree in Business Management from Case Western Reserve University.
Mr. LoMonaco entered the real estate consulting industry in 1989. Assignments include market feasibility analysis, appraisal reports, lease analysis, highest and best use studies, and general consulting. Mr. LoMonaco’s expertise has been used by clients for lending, litigation support, asset allocation, due diligence, lease negotiation, tax appeals, bankruptcy proceedings and market and site selection. Prior to joining CBRE in 2023, Mr. LoMonaco was the President of Valuation and Information Group, Culver City, CA. Experience includes appraisal and market feasibility assignments for a wide variety of property types in the senior housing and healthcare related industry. Property types include senior apartments, independent living, congregate, assisted living, skilled nursing, Alzheimer’s, medical office buildings, surgery centers, dialysis centers, rehabilitation hospitals, psychiatric hospitals, specialty hospitals and general acute‐care hospitals. Assignments have been conducted throughout the United States.
Mr. Roger Lukoff has led the FHA Office of Healthcare Programs (OHP) as the Deputy Assistant Secretary for Healthcare Programs since May 2016. He is extremely proud of the 170-member Healthcare team supporting a health care facility portfolio of over $38.6 Billion in FY 2024. As a senior executive at FHA since 2010, Mr. Lukoff, in conjunction with the OHP Management Team, developed and implemented organizational policies, strategies, plans, and operating guidelines to address the national healthcare mortgage insurance program. A major accomplishment of the program since 2010 is the generation of off-setting receipts to the U. S. Treasury of an estimated $2.0 Billion. Mr. Lukoff is the former Associate Regional Administrator at the DHHS Centers for Medicare and Medicaid Services (CMS) where he was responsible for the Northeast Consortium (CMS Regions I, II and III) Survey, Certification and Enforcement Division, overseeing quality assurance and standards for hospitals, long term care facilities and other healthcare facilities and suppliers participating in federal health programs. Prior to joining CMS, he was a senior healthcare executive at a major integrated health delivery system. He is a Certified Fellow of the American College of Healthcare Executives, and completed his undergraduate degree at the University of Massachusetts at Amherst; graduate degree at The George Washington University; and completed the Wharton Management Program in Business Administration at the University of Pennsylvania. Mr. Lukoff is an adjunct professorial lecturer in the Graduate School of Public Health, Department of Health Policy at The George Washington University and in the School of Public Affairs, Department of Government at American University.
Connect with capital providers, financing seekers, and facilitators.
Get full details by clicking on the image above.