Medical Office Real Estate

Most Active Buyers of Medical Office Buildings Last Year

Here are a few interesting highlights from a recently released Revista report detailing medical office building transaction activities last year involving three types of investors – Real Estate Investment Trusts (REITs), Private Investors, and Hospitals and Health Systems. Real Estate Investment Trusts bought $7.2 billion worth of medical office buildings (MOB) in 2017, which comprised […]

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top 10 health system

Top 10 Health Systems in the U.S. by Licensed Beds

HCA Healthcare is the definitive leader for U.S. Health Systems by Licensed Beds, with just over 46,000 beds. The health systems in the #2 through #5 positions are within a few thousand licensed beds of each other, and are ripe for disruption and change in position. with a slew of recent merger and acquisition announcements,

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Outpatient Facilities Development Across the US in the Past Year

More than 34 million square feet of outpatient healthcare real estate projects were either started or completed in 2017, according to Revista.  This number represented a small decrease in medical office buildings’ and other outpatient facilities’ development from the previous year. Revista projected, however, that outpatient construction starts will rebound again in 2018.   The

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New Lease Accounting Rules and How They Affect Medical Real Estate

In our March newsletter, we discussed the concept of reverse monetization, whereby a current lessee (health system, physician group, etc.) buys properties in order to gain control of the operating costs, or to simply purchase the medical buildings they already occupy because it’s a smart business decision due to new lease-accounting guidance by the Financial

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Tax-Deferred Transactions for Medical Real Estate…1031 vs. UPREIT

As property values continue to climb and owners are considering selling their medical real estate the main question we hear is, “where will I put my money to replace the income?”. At times it seems that using the 1031 method to defer capital gains tax is a foregone conclusion. Our healthcare real estate team’s response

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Reverse Monetization – a New Trend?

According to Revista and Healthcare Real Estate Insights, with Aurora Health Care’s $433 million acquisition of 18 medical office buildings from Welltower, Inc. in January, this purchase marked the first major transaction that could be labeled a “reverse monetization”. According to Healthcare Real Estate Insights, several members of its Editorial Advisory Board at the end

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