Meridian Capital Group
Meridian Capital Group

Senior Housing
& Healthcare

Meridian’s immense national transaction volume affords us an exceptional vantage point from which to view real estate capital markets.

(646) 813-9763

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WHO WE ARE

Meridian’s specialized senior housing and healthcare advisors and underwriters are a team of seasoned experts led by Ari Adlerstein and Josh Simpson.

As the leading financial intermediary for senior housing and healthcare properties in the U.S., Meridian’s clients benefit from unparalleled access to lenders, exclusive pricing, and deep industry insights unique to our platform. Meridian also provides a complete suite of advisory services such as equity capital markets and investment sales across all sub-asset classes of healthcare properties.

$5.5 Billion

Closed in 2021

41 Lenders

Partnered with Meridian in 2021

35 States

Transactions Completed in 2021

126 Transactions

Debt, Equity & Investment Sales Transactions in 2021

Ranked #1

Intermediary in 2020 for Senior Housing and Healthcare Financing

What We Do

 

Debt

Meridian’s clients benefit from unmatched access to lenders, exclusive pricing, and deep insights Meridian’s comprehensive platform delivers. A clear advantage is gained by maintaining close and constant communication with lending market participants and leveraging Meridian’s position as the leading finance intermediary for senior housing and healthcare properties in the U.S.

Clients know when they bring a debt assignment to Meridian it will be handled by senior housing and healthcare experts who bring a proven track record across a wide variety of financing types, including acquisition, construction, mezzanine, bridge, and permanent, as well as accounts receivables financing.

Equity

Meridian’s exceptional vantage point in the equity capital markets allows its team to work with clients to capitalize or recapitalize senior housing and healthcare assets. That includes identifying well-suited equity partners and tailoring the most efficient structure for each assignment.

Investment Sales

Meridian’s investment sales team delivers unrivaled access to the broadest pool of buyers for each transaction. That includes extensive relationships with leading developers, owners, and operators, as well as investment funds and vehicles.

Advisory Services

Meridian has earned a role as a trusted commercial real estate advisor to many of the largest and most active senior housing and healthcare real estate investors in the U.S. Meridian’s team brings a keen awareness of the impact current market trends have on the senior and healthcare real estate sector within the context of historical investment and demographic trends, which leads to the best deal execution, improved patient outcomes and healthier communities. Meridian’s deep experience, comprehensive skill set, and intimate industry knowledge allow the company to collaboratively provide value-add guidance to clients considering a wide range of strategic alternatives to maximize asset or portfolio value.

SENIOR HOUSING & HEALTHCARE LEADERSHIP

Ari Adlerstein

Senior Managing Director

Ari Adlerstein

Senior Managing Director

Mr. Adlerstein joined Meridian in 2011 and currently serves as a Senior Managing Director and Head of the company’s Senior Housing and Healthcare team, comprised of specialized advisors and underwriters who are seasoned experts in this unique and operationally intensive property type.

He is responsible for the origination and placement of loans pertaining to senior housing properties and acts as a trusted advisor to many of the largest and most active senior housing and healthcare real estate investors in the United States. He has proven himself an expert across a wide variety of financing types and offers the most effective financing strategies available through his unparalleled network of specialized lenders, including banks, CMBS lenders, debt funds, life insurance companies, and agency lending platforms.

In addition to financing, Mr. Adlerstein provides a complete suite of advisory services such as equity capital markets and investment sales across all sub-asset classes of healthcare properties. He has closed over $17 billion in transaction volume throughout the course of his career, with more than $5.5 billion closed in 2021 alone.

Select transactions closed by Mr. Adlerstein include the $135.5 million recapitalization of over 1000 skilled nursing beds in New Jersey and Pennsylvania; the $123 million sale of eight assisted living, independent living, and memory care facilities in South Carolina, Tennessee, and Kentucky, as well as $90.5 million in financing for the acquisition of those facilities; and the $65.3 million sale of an assisted and independent living facility in California as well as $43.7 million in financing for that acquisition. Mr. Adlerstein also arranged a $43 million cash-out of 12 skilled nursing facilities in the Midwest after less than one year of operations.

Prior to joining Meridian, Mr. Adlerstein earned a J.D. from Cardozo Law School and was admitted to the New York Bar.

Josh Simpson

Managing Director

Josh Simpson

Managing Director

Mr. Simpson joined Meridian in 2013 and currently serves as a Managing Director and Partner of Meridian’s Senior Housing and Healthcare platform. Along with Ari Adlerstein, he oversees a team of analysts and is responsible for the origination and placement of loans that fall under the healthcare umbrella, including skilled nursing, assisted living, memory care, independent living, age-restricted living, hospitals, and other specialty care facilities. He continues to expand the team’s expertise by leading them into new asset classes, including the behavioral space, cash-flow loans, and ancillary companies.

Over the course of his career, Mr. Simpson has negotiated more than $15 billion in healthcare transactions, including real estate debt, operating lines of credit, investment sales, and equity raises, with $5.5 billion closed in 2021 alone.

Select transactions closed by Mr. Simpson include the $710 million acquisition of 39 skilled nursing facilities comprised of 5,039 beds in Virginia and North Carolina, a $73 million loan to convert seven skilled nursing facilities into addiction treatment centers in Indiana, and a $13.1 million acquisition loan for seven addiction treatment centers totaling 124 beds in California, Arizona, and Nevada.

Prior to joining Meridian, Mr. Simpson was an Audit and Tax Associate in the Commercial Real Estate Group of Ernst and Young.

Mr. Simpson is a Certified Public Accountant (inactive) and holds a Bachelor of Science in Accounting and Finance from Yeshiva University. He is also a member of the board of Westchester Torah Academy (WTA).

 

Avi Begun

Senior Vice President

Avi Begun

Senior Vice President

Mr. Begun joined Meridian in 2020 and currently serves as a Senior Vice President in the company’s New York City headquarters. He is responsible for the origination, underwriting, and placement of loans across a broad array of property types in the senior housing and healthcare sector, including independent living, assisted living, memory care, and skilled nursing facilities across the country.

Over the course of his career, Mr. Begun has closed over $1 billion in transaction volume and has fostered deep and long lasting relationships with both clients and lenders.

Prior to joining Meridian, Mr. Begun served as a senior originator at a boutique finance company where he was also responsible for the origination and placement of loans that fall under the healthcare umbrella. He began his career in real estate in 2010 at a real estate management company and previously studied at Touro College.

Sim Goldberg

Vice President

Sim Goldberg

Vice President

Mr. Goldberg joined Meridian in 2019 and currently serves as a broker in the company’s New York City headquarters. He is responsible for the origination, underwriting, and placement of loans pertaining to senior housing and healthcare properties and is a specialist in this unique and operationally intensive property type.

Prior to joining Meridian, Mr. Goldberg was an account manager at Edison Home Healthcare, where he helped grow the company’s footprint in the greater New York market. Prior to joining Edison Home Healthcare, Mr. Goldberg spent two years working with International Equity Partners, where he supported the acquisition and management team for the company’s multifamily portfolio in the California area.

Mr. Goldberg holds a bachelor’s degree and studied business management at Touro College.

Matthew Lesnik

Vice President

Matthew Lesnik

Vice President

Mr. Lesnik joined Meridian in 2019 and currently serves as a Vice President in the company’s New York City headquarters. He is responsible for the underwriting and placement of debt and equity in the healthcare sector in markets across the country. His range spreads across acquisitions, new construction, mezzanine, bridge and permanent as well as account receivables financing. The healthcare team works with a broad array of lenders spanning specialized banks, CMBS lenders, debt funds, life insurance companies, and agency lending platforms. The team has reached $2.8 billion in transaction volume year-to-date through November 2019.

Prior to joining Meridian, Mr. Lesnik was a real estate closer at Citibank, where he helped close loans and credit facilities for newly constructed and rehabilitated multifamily affordable housing projects. Prior to joining CitiBank, Mr. Lesnik spent two years at Newmark Knight Frank as a research analyst, supporting the New York City office’s leasing and capital markets platforms.

Mr. Lesnik holds a bachelor’s degree in economics from Tufts University.

Jesse Rauch

Vice President

Jesse Rauch

Vice President

Mr. Rauch joined Meridian in 2019 and currently serves as a Vice President in the company’s New York City headquarters. He is responsible for underwriting and assisting in the placement of loans across a broad array of healthcare facilities, including independent living, assisted living, and skilled nursing facilities throughout the United States.

Prior to joining Meridian, Mr. Rauch spent two years at Pangea Properties working as an Asset Management Analyst, where he managed more than 1500 multifamily units worth over $100 million throughout the Chicago, IL area.

Mr. Rauch holds a Bachelor of Arts focusing on real estate and urban land economics from the University of Wisconsin–Madison.

Rafi Sod

Vice President

Rafi Sod

Vice President

Mr. Sod joined Meridian in 2020 and currently serves as Vice President of Lender Relationships on the Senior Housing and Healthcare team in the company’s New York City headquarters. He is responsible for managing and deepening Meridian’s lender relationships in the Senior Housing and Healthcare space in addition to cultivating new relationships.

Prior to joining Meridian, Mr. Sod managed new business and client relationships and was responsible for the underwriting and pricing of healthcare loans at Monticello Asset Management. Previously, he was a loan originator at a boutique senior housing and healthcare finance company where he was also responsible for the origination, underwriting, and placement of loans.

Since he began his career in real estate finance in 2016, Mr. Sod has negotiated more than $1 billion in transaction volume across the United States.

Yuval Hananya

Senior Associate

Yuval Hananya

Senior Associate

Mr. Hananya joined Meridian in 2021 and currently serves as a Senior Associate in the company’s New York City headquarters. He is responsible for underwriting and assisting in the placement of loans in the senior housing and healthcare sector, including independent living, assisted living, and skilled nursing facilities across the country.

Prior to joining Meridian, Mr. Hananya was an Associate at The Blackstone Group. Prior to joining The Blackstone Group, Mr. Hananya was a Tax Associate in the Commercial Real Estate Group at Ernst and Young.

Mr. Hananya holds a Bachelor of Science in Accounting from Binghamton University and a Master of Science in Accounting with a Concentration in Taxation from Binghamton University. Mr. Hananya is a Certified Public Accountant.

David Gottlieb

Associate

David Gottlieb

Associate

Mr. Gottlieb joined Meridian in 2020 and currently serves as an Associate in the company’s New York City headquarters. He is responsible for underwriting and assisting in the placement of loans in the senior housing and healthcare sector, including independent living, assisted living, and skilled nursing facilities across the country.

Mr. Gottlieb holds a Bachelor of Business Administration in Real Estate & Urban Land Economics from the University of Wisconsin-Madison’s School of Business.

Jacob Scott

Associate

Jacob Scott

Associate

Mr. Scott joined Meridian in 2020 and currently serves as an Associate in the company’s New York City headquarters. He is responsible for underwriting and assisting in the placement of loans in the senior housing and healthcare sector, including independent living, assisted living, and skilled nursing facilities across the country.

Prior to joining Meridian, Mr. Scott was an Investment Analyst at Arthur J. Gallagher, where he conducted investment research on capital market products for institutional retirement plans.

Mr. Scott holds a Bachelor of Arts in Economics from the University of Michigan.

Dylan O’Connor

Associate

Dylan O’Connor

Associate

Mr. O’Connor joined Meridian in 2022 and currently serves as an Associate in the company’s New York City headquarters. He is responsible for underwriting and assisting in the placement of loans in the senior housing and healthcare sector, including independent living, assisted living, and skilled nursing facilities across the country.

Prior to joining Meridian, Mr. O’Connor was a Multifamily Acquisitions Associate at NOVO Properties in Washington, DC.

Mr. O’Connor holds a Bachelor of Science and Business Administration in Finance from Bucknell University and he is currently pursuing a Master of Professional Studies in Real Estate at Georgetown University.

SELECT CLOSED TRANSACTIONS

Acquisition
$285,000,000
Senior Housing and Healthcare
MD and PA
Skilled Nursing Portfolio
Acquisition
$90,500,000
Senior Housing and Healthcare
SC, TN, and KY
Independent Living, Assisted Living, and Memory Care Facilities
Refinance
$60,000,000
Senior Housing and Healthcare
Secaucus, NJ
204-Bed Hospital

SENIOR HOUSING & HEALTHCARE IN THE NEWS

UPCOMING EVENTS

2022 NIC Spring Conference

March 23-25, 2022

Omni Dallas Hotel

No other event offers this level of access to the decision-makers, ideas, and connections as the sector enters a new era of delivering community and care to a growing -and aging- population of older adults.

Schedule a Meeting