# Selectis Health, Inc. > Clarifo company profile — qualitative business description generated from > the company's filings. Financial statements, charts and ratios are > available on Clarifo (https://www.clarifo.com/fi/companies/Selectis Health, Inc.). ## Overview Selectis Health, Inc. owns and operates long-term care facilities in the United States, with a portfolio concentrated in skilled nursing and related healthcare real estate. The company’s business combines facility ownership with healthcare service operations, including reimbursement-driven patient care at its operating sites. ## Products & services • Skilled nursing facility operations • Long-term care and inpatient healthcare services • Healthcare real estate ownership • Medicare and Medicaid reimbursed patient care • Facility leasing and property disposition - **Skilled nursing operations** (100%) — Patient care services delivered through owned and operated long-term care facilities. - **Healthcare real estate** (0%) — Ownership of facilities and related property assets used for senior care operations. - **Rental and leasing income** (0%) — Lease income from properties leased to third parties when applicable. - Skilled nursing facility operations - Long-term care and inpatient healthcare services - Healthcare real estate ownership - Medicare and Medicaid reimbursed patient care - Facility leasing and property disposition ## Customers The company serves patients who require skilled nursing, inpatient care, and long-term care services at its facilities. Payment is typically routed through third-party payers such as Medicare and Medicaid, with reimbursement terms shaping realized revenue. It also has exposure to operators or tenants where facilities are leased or transferred. - **Skilled nursing patients** (primary) — Residents and patients receiving inpatient and long-term care services at company facilities. - **Medicare payers** (primary) — Federal healthcare reimbursement for eligible inpatient and outpatient services. - **Medicaid payers** (primary) — State and managed-care reimbursement for covered nursing and care services. - **Facility operators and tenants** (secondary) — Counterparties that lease or operate properties and generate rental or transfer-related economics. - Patients needing skilled nursing and long-term care - Medicare beneficiaries receiving inpatient or outpatient services - Medicaid-covered patients at state-reimbursed facilities - Third-party payers that determine reimbursement rates - Operators/tenants involved in leased or transferred facilities ## Geography Selectis Health’s facilities are located in the United States, with operating sites in Arkansas, Georgia, Ohio, and Oklahoma. Its portfolio is concentrated in a small number of states, so reimbursement rules, labor conditions, and state Medicaid rates can materially affect operations and revenue. - **United States** (100%) — All disclosed facilities and operations are in the U.S. - United States is the core operating market - Facilities are concentrated in Arkansas, Georgia, Ohio, and Oklahoma - Georgia and Oklahoma Medicaid rates affect healthcare revenue - State-level reimbursement and regulation drive operating economics - Small geographic footprint increases local concentration risk ## Strategy The company’s stated priorities center on stabilizing operations, increasing revenue, and reducing costs while maintaining access to financing. It also appears focused on portfolio simplification and asset actions, including facility sales, to align the business with available capital and operating capacity. - **Improve operating revenue** (short-term) — Higher reimbursement and better facility utilization support the core care business. - **Portfolio rationalization** (short-term) — Selling non-core or lower-value facilities can simplify the asset base and free capital. - **Liquidity and financing access** (short-term) — The business depends on external capital to support operations and obligations. - Increase revenue through reimbursement and operating improvements - Reduce overhead and other controllable costs - Pursue additional equity or debt financing - Manage facility portfolio through sales and transfers - Preserve operating continuity across core care sites ## Risks Selectis Health faces going-concern, liquidity, and reimbursement risk because its operations depend on government payer rates and access to external financing. It is also exposed to occupancy, labor, regulatory, and operator/tenant risks typical of skilled nursing and healthcare real estate businesses. - **Going-concern and liquidity risk** [critical] — The company disclosed substantial doubt about its ability to continue without additional funding. - **Government reimbursement risk** [high] — A large share of revenue depends on Medicare and Medicaid rates and settlement processes. - **Occupancy and utilization risk** [high] — Skilled nursing economics depend on census, length of stay, and facility utilization. - **Operating cost inflation** [medium] — Property, insurance, labor, and other operating costs can rise faster than reimbursement. - **Regulatory and compliance risk** [high] — Healthcare facilities are subject to state and federal rules affecting operations and payments. - Going-concern risk due to losses and working capital deficiency - Medicare/Medicaid reimbursement changes can move revenue materially - Occupancy and patient volume affect facility economics - Healthcare labor and operating inflation pressure costs - Facility sales and tenant/operator issues can disrupt revenue ## Accounting Revenue recognition is driven by healthcare service delivery and estimated reimbursement from Medicare, Medicaid, and managed care payers, so reported revenue depends on estimates of contractual allowances and collectability. The company also has judgment-heavy areas in credit loss provisioning, depreciation of facility assets, and potential impairment or disposal accounting as properties are sold or transferred. - **ASC 606 healthcare revenue estimation** — Can shift reported revenue and receivables as estimates are updated - **Contractual allowances and payer mix** — Affects net revenue and comparability across periods - **Cost report settlements** — Can create later-period revenue or expense adjustments - **Property and equipment depreciation** — Influences operating results and asset carrying values - **Credit loss allowance** — Affects bad debt expense and net realizable receivables - Healthcare revenue depends on estimated payer reimbursement - Contractual allowances affect net service revenue - Cost report settlements can change prior-period estimates - Credit loss provisions affect receivables and earnings - Property sales and asset dispositions affect gains/losses --- *Last updated: 2026-04-29T04:54:57.417458+00:00*