The short answer
A senior-housing sale splits in two: the land and buildings are real property that can go through a 1031 exchange, while the state license, Medicare or Medicaid provider agreement, resident contracts, furniture and goodwill are an operating business that is taxed under the residual allocation rules of IRC §1060. Only the price allocated to the real estate reaches your qualified intermediary, so the allocation you negotiate in the purchase agreement sets both your tax bill and the size of the exchange. Passive replacements that keep senior-housing exposure, such as DSTs that lease communities to licensed operators, exist because the DST rules forbid the trustee from running a care business.
At a glance
| License rule | A license to operate a business on real property is not real property (Reg. §1.1031(a)-3) |
|---|---|
| Business allocation | Residual method; written allocation binds both parties (§1060(a)); Form 8594 both sides |
| Medicare change of ownership | Provider agreement auto-assigns to the buyer with its liabilities (42 CFR 489.18(c)-(d)) |
| DST constraint | Trustee cannot operate or re-lease; community leased to an operator (Rev. Rul. 2004-86) |
| REIT structure | Lease to a TRS run by an eligible independent contractor (§856(d)(8)(B)) |
| Occupancy, Q2 2026 | 89.9% nationwide, 20th straight quarterly gain; inventory growth 0.4% (NIC, Jul 9, 2026) |
| Demographics | All boomers past 65 by 2030; 65+ outnumber under-18s by 2034 (Census Bureau) |
The land and buildings exchange; the license, the resident agreements and the goodwill are a business sale
Treas. Reg. §1.1031(a)-3 settles the hardest question for a care community: a license or permit to engage in or operate a business on real property is not real property or an interest in real property, regardless of how state law classifies it. Your assisted-living license, Medicare certification, resident agreements, staff, systems and name are therefore outside the exchange, along with the beds, kitchen equipment and vans.
Because goodwill can attach to a going community, a sale of the real estate together with operations is an applicable asset acquisition under IRC §1060. The consideration is allocated by the residual method, a written allocation agreed between you and the buyer binds both parties unless the IRS finds it inappropriate, and each side files Form 8594 with its return; the instructions place land, buildings and furniture in Class V, licenses and other §197 intangibles in Class VI, and goodwill and going-concern value in Class VII.
If your community is already held in a property company that leases to a separate operating company, the property company sells real estate and exchanges it, and the operating company sells the business separately. A single entity that owns and operates must write the split into the purchase agreement, and only the Class V real-property amount is wired to the intermediary.
Change-of-ownership rules and licensure decide who can buy and how long the closing takes
For a Medicare-certified skilled nursing facility, 42 CFR 489.18 requires a provider that is contemplating or negotiating a change of ownership to notify CMS, and on closing the existing provider agreement is automatically assigned to the new owner, subject to the same statutes, regulations, correction plans and other terms under which it was issued. That automatic assignment carries overpayment and compliance exposure with it, which is why buyers ask for cost-report history and indemnities and why the 180-day exchange window needs the state and federal approvals mapped before you list.
Assisted living and memory care are licensed by the states rather than CMS, and the buyer or its operator must hold or obtain the license before it can admit residents; a real-estate-only buyer such as a REIT or DST solves this by leasing to a licensed operator. Healthpeak's 2025 10-K describes its 34 senior-housing properties as operated through RIDEA structures, meaning the REIT leases to a taxable subsidiary and an eligible independent contractor manages the community under IRC §856(d)(8)(B) and (d)(9).
Independent-living communities with no care license face fewer approvals, but meal, housekeeping and activity services are still business income that a buyer will allocate separately from rent. The fewer regulated services you provide, the closer the sale is to an apartment sale and the larger the share of price that can be exchanged.
Hypothetical: a $20 million assisted-living sale allocated across real estate, furniture, license and goodwill
Suppose the buyer and seller agree to allocate a $20,000,000 price as $16,000,000 to land and buildings, $1,000,000 to furniture and equipment, $500,000 to the license and other intangibles, and $2,500,000 to goodwill. The seller's adjusted basis in the real estate is $9,000,000 and the furniture is fully depreciated.
The $16,000,000 real-estate leg carries a $7,000,000 gain that a complete exchange defers, and the intermediary must receive that full amount at closing. The $1,000,000 of furniture is ordinary income under IRC §1245 in the year of sale, and the $3,000,000 of intangibles and goodwill is taxed under their own rules and cannot be exchanged, though eligible capital gain can be reinvested through an opportunity zone fund and taxable income can be offset with an accelerated depreciation fund.
Shifting $1,000,000 of allocation from goodwill to real estate would increase the deferred amount and the buyer's depreciable basis, but §1060 makes the written allocation binding on both sides and the IRS can challenge one that departs from fair market value, so the split needs an appraisal that separates real estate from business value. Ask your CPA to review the allocation before the purchase agreement is signed, because it is nearly impossible to reopen afterward.
Replacement routes that keep senior-housing income without a license in your name
A DST that owns a community leases it to an operator because Rev. Rul. 2004-86 limits the trustee to collecting and distributing income: it may not renegotiate the lease or enter new leases except on the tenant's bankruptcy or insolvency, may not refinance, and may make only minor non-structural modifications unless required by law. The operator's credit, the lease coverage and the reserves therefore do the work that your management team did, and the sponsor's role is to select and monitor that operator.
Some DST programs are built to be contributed to a healthcare REIT's operating partnership under §721, which brings RIDEA-style diversification across dozens of communities at the price of giving up any future 1031. A diversified net-lease DST or a direct title security leaves the sector entirely while keeping the deferral.
Our senior housing asset-class page explains how we evaluate independent living, assisted living and memory care as replacement property, and the traditional DST solution covers the placement process. The choice between staying in the sector and diversifying is a personal one to settle with your advisor, not a tax rule.
What the mid-2026 demand and supply figures say before you choose a replacement
NIC MAP reported that nationwide senior-housing occupancy averaged 89.9% in the second quarter of 2026, the 20th consecutive quarter of increase, while year-over-year inventory growth was just 0.4% and fewer than 16,000 units were under construction, according to its July 9, 2026 release. Active-adult communities reached 92.6% in the same quarter.
The demand side is demographic: the Census Bureau projects that all baby boomers will be older than 65 by 2030, when one in five residents will be of retirement age, and that by 2034 the 77.0 million people aged 65 and over will outnumber the 76.5 million under 18 for the first time.
Those figures support the case for keeping some exposure through a passive vehicle, but they say nothing about a specific operator's labor costs, licensure history or lease coverage, which is where a DST offering is won or lost.
Case pattern: a retiring regional operator sells the business to a successor and exchanges the real estate
A common structure for an owner leaving the industry is to sell the operating company to a successor operator, sometimes the existing executive director backed by an investor, and to sell the real estate either to the same buyer or to a REIT that leases it back to the new operator. The real-estate proceeds go to the intermediary and are placed in senior-housing DSTs and a diversified net-lease DST, giving the seller income from several communities and other sectors without a license, payroll or survey in his or her name.
The sequencing matters: the operating sale sets the allocation, the change-of-ownership notices set the closing date, and the closing date starts the 45-day identification clock, so the DST due diligence should be finished before the license transfer is approved.
Related questions
Can I sell the buildings, exchange the proceeds, and keep operating under a lease from the buyer?
Yes. A sale-leaseback of property used in your trade or business qualifies under §1031(a)(1), and you would continue to hold the license and run the community as the buyer's tenant; it keeps the operating risk you may be trying to leave.
Does the buyer's Form 8594 have to match mine?
Both parties report the allocation, and under §1060(a) a written allocation in the purchase agreement binds both of you unless the IRS determines it is not appropriate, so agree the numbers in the contract rather than after closing.
Is an independent-living community treated as a business sale too?
Usually, if meals, housekeeping or activities are bundled with rent, because goodwill can attach to that service business; the allocation to the real estate is typically larger than for a licensed community, and your CPA can confirm whether §1060 applies to your facts.
Can a DST own a licensed assisted-living community?
The DST holds the real estate and leases it to a licensed operator; Rev. Rul. 2004-86 does not allow the trustee to operate a business or renegotiate the lease, so the operator and master-lease terms are the core of the diligence.
What happens to my Medicare provider agreement when I sell a nursing facility?
Under 42 CFR 489.18 you must notify CMS while the sale is being negotiated, and at closing the agreement is automatically assigned to the buyer subject to its existing terms, plans of correction and liabilities, which is why buyers price in cost-report and survey history.
Sources
Checked against these publications on September 19, 2026. Rules and figures change; confirm the current version with your CPA or attorney before you act. This page is general information, not tax or legal advice.
- Treas. Reg. §1.1031(a)-3, Definition of real property (license and permit rule)
- IRC §1060, Special allocation rules for certain asset acquisitions
- IRS, Instructions for Form 8594 (asset classes)
- IRC §1245, Gain from dispositions of certain depreciable property
- 42 CFR 489.18, Change of ownership or leasing: effect on provider agreement
- IRC §856, Definition of real estate investment trust (RIDEA provisions)
- Rev. Rul. 2004-86 (Delaware statutory trusts and §1031)
- NIC, Occupancy in senior housing climbs as half of primary markets top 90% (Jul 9, 2026)
- U.S. Census Bureau, Older people projected to outnumber children (Mar 13, 2018)
- Healthpeak Properties, Form 10-K for 2025 (RIDEA senior housing)
