Mainstreet Health Investments Announces US$425 Million Transformational Acquisition of 42 US Property Portfolio, New Strategic Investor and Name Change

TORONTO, Nov. 17, 2017

Transformative and Strategic Acquisition

• Attractive and Strategic Portfolio Acquisition: The Portfolio is comprised of 35 high quality independent living, assisted living and memory care properties and seven skilled nursing facilities located in growing markets across 11 states. The Portfolio is expected to add eight new states to Mainstreet's existing platform and strengthens its presence in three states in which it currently owns properties. The Portfolio consists of 24 properties leased to operators under long-term triple-net leases and 18 operating properties in joint venture arrangements with seniors housing operators in which Mainstreet will own the majority of the real estate and the operations.
  
  
• Enhanced Scale and Investment Platform: The Transaction increases the scale and scope of Mainstreet's investment platform to comprise 80 properties with 8,536 suites/beds across the United States and Canada, a 2.6x increase compared to Mainstreet's initial public offering in June 2016. The Company's pro forma asset value is expected to increase to US$1.2 billion.
  
  
• Transaction Significantly Improves Diversification: The Transaction further diversifies the Company's operator relationships and geographic footprint. Mainstreet is expected to add eight new operators to its roster of high-quality operating partners and reduce the concentration of its largest operator Symphony, from 56% to 32%. Furthermore, assuming completion of the Transaction, Mainstreet will operate in 18 states and provinces and its concentration in the State of Illinois will be reduced to 31% from 54%.
  
  
• Increases Exposure to Private Pay Sector: The Portfolio primarily consists of private pay independent living, assisted living and memory care properties that represent approximately 80% of the Portfolio's suites/beds. Following the completion of the Transaction, Mainstreet's portfolio will be comprised of approximately 52% independent living, assisted living and memory care suites and 48% skilled nursing and transitional care beds.
  
  
• Attractive Transaction Metrics: The Consideration represents a going-in capitalization rate of approximately 7.7%. Mainstreet is funding the equity portion of the Consideration through the issuance of Mainstreet common shares directly to Tiptree.
  
  
• Validation of Embedded Value and Addition of New Strategic Investor: Upon closing, Tiptree will become Mainstreet's largest shareholder with an ownership interest of approximately 34%. Tiptree will receive Mainstreet shares based upon a fixed issuance price of US$9.75 per common share.
  
  
• Accretive Transaction: The Transaction is expected to be accretive to the Company's 2018E Adjusted Funds from Operations ("AFFO") per share. The Company also expects to achieve additional synergies over time from operational efficiencies and debt consolidation, neither of which are included in the Company's underwriting and financial analysis.

Scott White, the Company's CEO stated, "We are excited to announce the acquisition of CareIT and deliver on our strategic plan to grow our platform, diversify our portfolio and provide significant value for our shareholders. We believe this transaction and the addition of Tiptree as another cornerstone investor will bolster our position in the market and position Mainstreet for the next phase of its growth. This transaction is further evidence of the embedded value in our platform, with a sophisticated investor making a significant investment in our Company." 

Rick Turner, the Company's Chairman added, "This transaction is a significant achievement for our company and we are excited to announce this acquisition as we continue to deliver on our growth strategy. We expect to continue acquiring high quality properties with strong operators in growing markets."

Michael Barnes, Tiptree's Executive Chairman stated, "We are excited to partner with Scott and his team through the combination of our two platforms. We look forward to working together to further create value and upside for both companies' shareholders."

Investor Presentation

An investor presentation describing the transaction will be made available on the Company's website at http://www.mainstreethealthinvestments.com/investor-events-presentations/.