Investors Pay Top Dollar For MOBs

LaSalle Investment Management’s acquisition of Memorial Hermann Medical Plaza in Houston for $405 million set a new record for a medical office building, and illustrated the strong demand for these types of assets. Investors view MOBs as the safest form of all healthcare real estate, according to a recent article in the Wall Street Journal.

“There’s a sense of stability about the asset class that is appealing to a wide range of investors,” said Richard Anderson, a managing director at Mizuho Americas Research which focuses on healthcare real estate.

Investors like MOBs because they are less vulnerable to reimbursement and regulation changes, and they have predictable revenue streams. For example, the 28-story Memorial Hermann Medical Plaza is 99% occupied.

Medical office tenants usually pay about $1 in rent for every $10 generated in revenue, so landlords have flexibility to increase rent, Anderson noted. Additionally, MOBs typically have outpatient surgery centers, which are expected to benefit from the industry transition to value-based care, and they are also more easily converted to other types of commercial property if patient demand changes or reimbursement changes make the office financially unsustainable.

The purchase of Memorial Hermann Medical Plaza beat out the previous record for a single medical office property, a deal worth $332.5 million.

Source: Connect Commercial Real Estate

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Jupiter Medical Office Space

jupiter medical office space

The Jupiter Medical Office Market

With a rapidly growing population and commercial real estate market, medical office space for lease in Jupiter is in high demand. The healthcare industry is evolving as patients demand increasingly convenient and consumer-facing practice locations. Jupiter medical office space for lease varies on a number of important fronts. We leverage our years of experience in Florida’s market to conduct targeted research to find the best locations for our clients based on their goals, budget, patient base, and specialty.

Medical Office Space for Lease

The selection process Jupiter medical office space for lease relies on a few key strategic decisions. A doctor or medical group must first think about the demographics they cater to and the competition in the area to determine where they should locate their practice. Then, once a general location for medical office space has been delineated, the next step is to discuss plans for growth. Florida Medical Space realizes that the Jupiter medical office market is complex because the area is ripe for growth for healthcare professionals. If a doctor or group is planning for growth, they need advocated who will either find them space that can accomodate their future plans or a lease agreement that is short-term to give them the flexibility to relocate.

Shared Medical Office Space

Shared medical office space for rent offers doctors and medical groups the chance to take advantage of premier locations and facilities while also only paying to lease the amount of space they need. This is especially true in Jupiter, where some of the shared medical office space offers high chances of success due to the increased visibility doctors/groups receive in high-traffic areas and buildings. If you are looking to lease an office in a shared medical space, reach out to us to better understand how our services are uniquely capable of securing you the best deal and location for you and your patients.

 

Our Capabilities

Site Selection

Our extensive experience researching markets throughout Florida has made our professionals well-equipped to find medical office space in Jupiter for a client to lease. Our professionals work with a doctor of medical group to gauge their needs, and once standards and goals are established, we provide the client with a thorough report on the properties available in the area. FMS prides itself in working tirelessly with clients until we find the perfect place for them to serve their patients.

Tenant/Buyer Representation

Having a solid, experienced healthcare real estate agent can make a crucial difference for a healthcare professional in a real estate transaction. Whether in a search for a shared medical office space or a location in a retail center, FMS has worked with countless tenants to negotiate fair and advantageous deals in terms of lease term, tenant improvement package, and rental rates. For buyers, we work on all fronts to protect the interests of our client and secure the best deal possible. Learn more about our tenant/buyer representation services here so that you can better understand our capabilities in the Jupiter medical office space market.

Landlord Representation

If you are a landlord looking to lease or sell your medical office space property in Jupiter, you are likely looking for a healthcare real estate agency with professionals who understand the medical real estate market. To guarantee the best deal possible financially and in terms of your long-term plans or exit strategy, FMS professionals work closely with landlords/property owners throughout the entirely of this process. We market aggressively and efficiently to find quality prospective tenants/buyers for our clients. Read more about our landlord/seller representation services here.

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Healthcare REIT MedEquities Realty Trust Considers Potential Sale

Nashville-based MedEquities Realty Trust is contemplating a sale of the company at a time when REIT mergers and acquisitions are expected to reach their cyclical peak.

The company has invoked the help of an adviser to evaluate its options, according to anonymous sources as reported by Bloomberg. MedEquities owns and invests in an assortment of healthcare properties, including acute-care hospitals, short-stay and outpatient surgery facilities, specialty hospitals and more. The company’s portfolio consists of 33 assets scattered throughout California and Texas.

MedEquities Chairman and CEO John McRoberts told Nareit in a video interview at the REITweek: 2018 Investor Conference that fundamentals in the healthcare segment remain healthy, presenting opportunities in the acute and post-acute healthcare segments in particular.

“We see a lot of opportunity in the acute and post-acute sectors, including skilled nursing. The rest of that space is very active and growing, fortunately for us,” McRoberts said during the interview. “We have a very good balance sheet. Of course the equities market in the healthcare space has not traded at all, so access to capital is not readily available from the equity markets. But our balance sheet is in very good shape so we don’t need access to it right now, so we’re very fortunate in that regard.”

The company’s share price increased 4% to $10.42 Wednesday mid-morning following the news, Bloomberg reports. By Thursday, the stock opened at $10.35, up from Wednesday’s close of $10.33, but was trading down by mid-day.

Other REIT M&A deals announced this year include warehouse owner Prologis’ $8.4B acquisition of DCT Industrial Trust, Greystar Student Housing Growth and Income’s acquisition of Education Realty Trust and Healthcare REIT Welltower Inc.’s purchase of senior housing REIT Quality Care Properties for $2B in cash.

The aggressive M&A environment is being fueled by a number of factors. For one, asset managers have found merging with a competitor can be a cost-effective way to increase market share and expand their presence both domestically and globally.

Taking into account the extended period of economic growth the U.S. has been experiencing, exorbitant asset prices and a frustrating bid-ask spread that is making it harder for investors to get the returns they want, there is an excess of dry powder in funds searching for deals.

“That’s resulting in a strong environment for REIT M&A. Public companies are trading at discounts of [their] net asset value. [This] provides an opportunity for buyers to come in and pay a premium on the existing share price and still pay a price that is at or below the net asset value. That is a compelling opportunity for buyers,” Greenhill & Co. Head of Real Estate Corporate Advisory Adam Troso previously told Bisnow.

Source: < ahref="https://www.bisnow.com/national/news/healthcare/healthcare-reit-medequities-realty-trust-ponders-potential-sale-91890?utm_source=CopyShare&utm_medium=Browser">Bisnow

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Hillsborough County Medical Office Space

With a growing population of over 1.3 million and rapidly evolving demographics, Hillsborough County has become a prime area for doctors of all specialities to practice. Tampa is home to multiple facilities at the forefront of research efforts in the global healthcare community, and a sizeable inventory of medical office space. However, a promising market is just the first ingredient for success for a practice. Our experience in Hillsborough has taught us that strategic site selection is especially important for doctors is they plan to build a sustainable patient base, maintain their current patients, and/or experience growth. Ww are a trusted ally of doctors, whether they are looking for Tampa medical office space or have any other real estate needs in the surrounding area.

Strategic Site Selection

Hillsborough County’s economy and population are becoming increasingly diverse. One of the most important components of commercial real estate is understanding how to navigate such a complex market to find sites that maximize a client’s chances for success. For each client in Hillsborough, we leverage our knowledge of the area to conduct a targeted and thorough market study. We work with the client to gauge the demographic profile they seek to serve within the county and select the locations that best fit their needs. For example, Tampa medical office space varies greatly in terms of visibility, accessibility, pricing, and the types of rental agreements offered. It’s crucial that any client looking for medical office space for lease understands what kind of deal they need on all these fronts.

Data on Hillsborough County

We closely follow trends in the county’s real estate market. Specifically in healthcare, it is valuable to have a solid grip on where the market stands so that we can advocate fairly and aggressively on our clients’ behalves. As of the third quarter of 2018, the Hillsborough medical office space market can be summarized by the following statistics:

  • 6,372,000 square feet of Hillsborough medical office space inventory.
  • Average rental rates of $21.25 per square foot.
  • Average occupancy rate of 93%.

Tampa’s Growth

Tampa is one of the fastest growing metropolitan areas in the country. This growth is promising for medical professionals seeking to cater to the population within the city or in the surrounding areas such as Brandon, Town ‘n’ Country, Valrico and more. Florida Medical Space plays a consultative role in guiding these professionals through each crucial step of their search for property. Below we have listed some of the most important factors in selecting medical office space in Tampa.

  • One key decision that precedes most others is whether a client is seeking to lease or purchase a property. We help doctors weigh the advantages and disadvantages of each option, taking into account plans for growth, budget, and the market conditions within the county. Learn more here.
  • Our years of experience in the area has made us aware of the competitive landscape in Tampa/Hillsborough’s healthcare industry. This is key in selecting a practice location for our clients that takes into account the surrounding competitors.
  • Once a demographic profile and market study is completed, we help clients decide on a trade area. This could be as simple as picking a target area within Tampa or as complex as exploring the benefits of operating out of medical office space in Westchase, Egypt Lake-Leto, East Lake-Orient Park, Greater Carrollwood, University, or Keystone.
  • No matter how promising a relocation or purchase may be for healthcare professionals, it is always crucial that they stay within a budget. We have a conversation with our clients upfront to determine the budget that bests minimizes risk and maximizes their chances of being financially successful. The site selection process that follows is always commensurate with the budget outlined.

Our Services

Florida Medical Space works throughout the state of Florida to help doctors, medical groups, and healthcare companies with all of their real estate needs. Specifically, we are well-positioned as healthcare real estate brokers in Tampa to help clients looking to lease or buy Tampa medical office space because we understand how to navigate the medical real estate market in Hillsborough. We emphasize finding an office or building that meets the needs and plans of our client’s practice. FMS is also uniquely capable of successfully leasing or selling medical office space in the Tampa market. Our marketing efforts and professional experience listing properties has taught us what works and what does not work when seeking quality tenants/buyers.

If you have a question about Hillsborough medical office space or any real estate needs in the Tampa area, contact us so that we can discuss further how we can serve you.

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Hospital Execs: Healthcare Today Must Be ‘Efficient, Low-Cost And Delivered Like You’re Going To The Ritz’

Carlos Migoya is widely credited with having turned around the finances and reputation of Miami’s public hospital system, Jackson Health, as its president and CEO. He inherited an $82M/year loss when he came on board in 2011 and produced an $8M surplus the following year, then $50M+ in subsequent years.

So many insured or paying patients began choosing the public hospital over its competitors that Migoya has had to fend off criticism that Jackson is not serving enough of the poor and uninsured.

At Bisnow’s State of South Florida Healthcare and Senior Living event last month in Fort Lauderdale, where Migoya was the keynote speaker, he and other healthcare executives said they are meeting the demands of today’s complicated healthcare industry with new technology and facilities that lend themselves to personalized care.

Under Migoya’s direction, Jackson is pushing ahead with about $500M in expansion projects, part of a bigger, $1.5B vision, partially funded by an $830M bond that voters approved in 2013. Eighty percent of the children’s hospital is under renovation, 40 new beds will be added to Jackson’s maternity ward, and a 100-bed hospital in Doral will soon provide quicker access to residents of West Miami.

Jackson’s trauma services will be complemented with a 96-bed rehabilitation hospital providing spinal, brain and neurological care, as well as short-term housing where therapists can better help patients and their families adjust to new physical constraints.

Providing the entire population with quality, low-cost healthcare is challenging, Migoya said. Small businesses are exempted from providing insurance to employees, and he said creating incentives for broader coverage will lead to a healthier society, where costs are low and services are more efficient.

The biggest challenge over the next five to 10 years is regulatory,” he said.

Migoya said there is no shortage of ideas for public-private partnerships, but a web of rules, however well-intentioned, can preclude implementing many of them.

In Florida, many regulations aim to keep supply and demand in balance so that patients receive the care they need but costs don’t spiral out of control. But those regulations also lead to political and legal battles as facilities compete for paying patients. Here, as in 30-plus other states, a “certificate of need” must be issued before new hospitals can be built, and there is a running battle between trauma centers and emergency rooms.

With Medicare penalizing hospitals for cases in which a patient is treated but must be readmitted, “it’s very critical today in how you get well enough so that you don’t have to get readmitted,” Migoya said.

Another Florida health system, nonprofit Baptist Health of South Florida, is pursuing its own innovations. It will soon allow patients to pull their electronic records in lobbies and is starting to monitor health progress with a combination of telemedicine and friendlier facilities.

“he old hospital systems weren’t hospitable,” Baptist Health South Florida Vice President of Real Estate Kathleen Moorman said, noting that they have historically been rather cold and sterile. Today, she said, they must be “efficient, low-cost and delivered like you’re going to the Ritz.”

Dr. Farzanna Sherene Haffizulla, a professor of medicine and the assistant dean for community and global health at Nova Southeastern University, said it is imperative that healthcare planners find ways to weave technology into the system without compromising the “humanistic aspect of medicine.”

Building facilities with LEED certification, increased light and green spaces could brighten the patient experience while cutting overhead costs, and Noah Tolson, a practice leader for planning at Array Architects, spoke of the importance of creating spaces where physicians and patients can look at an iPad or a computer screen together.

If the patients themselves can see what the physician is looking at, they feel more connected. They’re sharing information,” he said, adding that he would like to see medical services catch up with the kind of technology and innovation that has made modern banking so much easier. “We can make any number of transactions on our phones and shift money from one place to another, but we can’t do any of that in healthcare because they still work in silos.”

Source: Bisnow

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