Articles and Blogs

U.S. Senators Markey, Sanders and Blumenthal introduced the Stop Medical Profiteering and Theft (MPT) Act, which aims to ban sale-leasebacks between health systems and REITs if such a deal would “weaken the financial status” of the provider, as determined by HHS. The bill would also make certain changes to REIT income tax laws. The... READ MORE

According to a recent report, ASC volumes are expected to expand by 9% between 2023 and 2028, driven by site-neutral reimbursement, advancements in outpatient surgical techniques and cost savings to patients and payers. ASCs generated $45B in 2024 revenues, a figure projected to climb to $57B by 2030. Medical City Health Care is expanding... READ MORE

Baltimore City (MD) announced a $48M PILOT (payments in lieu of taxes) agreement with several hospitals and universities. Under the agreement, annual PILOT payments by hospitals and universities will grow from $6M to $12M. Hospitals signing the agreement include Johns Hopkins Hospital, University of Maryland Medical Center, MedStar Hospitals, Sinai Hospital and Grace Medical... READ MORE

UnitedHealth Group Inc. has completed its $3.3B acquisition of Amedisys, a company that operates over 500 home health and hospice sites throughout the country. During a recent U.S. House of Representatives subcommittee hearing, legislators criticized tax-exempt hospitals for failing to provide adequate charity care and community benefits in excess of the estimated $37.4B in... READ MORE

The Federal Reserve cut the federal funds rate by a quarter-point and projected it would do so twice more this year. Federal Reserve Chair Jerome Powell cited labor market constraints as a primary driver for the cut. Cleveland Clinic sold 24 outpatient facilities in a $350M sale-leaseback transaction. Twenty of the properties are located... READ MORE

While institutional investor groups are a major acquirer of medical outpatient buildings (MOBs), the past 18 months have seen a surge in “reverse monetizations” where hospitals and health systems are buying (or buying back) such buildings. Hospitals purchased $2.8B worth of MOBs in 2024 and $761M in 1H 2025, accounting for about 23 percent... READ MORE

According to CBRE, medical outpatient building (MOB) transaction volume increased 32% in Q2 with $2.2 billion in investments. Phoenix was the top market in terms of investment volume, followed by Los Angeles and Washington, D.C. The average MOB cap rate was 7.4%. The average sale price per square foot was $277, which is 40%... READ MORE

The North Carolina Medical Facilities Plan has identified a need for 267 more hospital beds in Wake County, NC. Duke Health, Novant Health, UNC Health and WakeMed have all filed proposals for projects in the area. Children’s hospitals are performing well today, but experts believe Medicaid cuts that go into effect next year could... READ MORE

A joint venture among MUSC, McLeod Health, Hope Health and Francis Marion University, along with the State of South Carolina, opened a behavioral health facility in Florence, South Carolina, to expand mental health services and replace an outdated facility. The $123M facility includes 63 inpatient beds. AdventHealth purchased a 35,000-square-foot medical office building in... READ MORE

This week, we’re taking a break from our usual briefing format to spotlight 10 key trends currently influencing the hospital real estate market. From pediatric hospital expansions to adaptive reuse projects, these developments are shaping strategies nationwide. If there’s a trend you’re seeing that’s not on our list, we’d love to hear from you.... READ MORE