Articles and Blogs

North Carolina legislators have passed a bill designed to reduce health care costs, improve price transparency and eliminate certificate of need (CON) restrictions on certain health care projects. The bill removes CON restrictions on diagnostic centers, rehabilitation facilities and in-home hospice services. North Carolina was recently ranked as having the most expensive health care... READ MORE

Revista published recent data indicating that, from 2017-2022, MOB portfolios consistently traded at a premium (reflected in lower average cap rates) as compared to single-asset MOBs. That trend reversed in late 2023 due to rising interest rates; however, since mid-2024, this so-called “portfolio premium” has returned. Emory University (Atlanta, GA) plans to issue more... READ MORE

Deal One: The health system desires to sell an MOB to a REIT and lease the related land to the REIT under a long-term ground lease; the health system will then master lease the building back.  Deal Two: The health system desires to ground lease an area on its campus to a developer, who... READ MORE

A new report argues that Alabama’s certificate of need law is negatively impacting health care in the state. Researchers estimate that Alabama would have 52 more hospitals, the cost of care would be reduced and post-surgery complications would decrease by 5.2% but for certificate of need restrictions. New data has been published on private... READ MORE

Hospitalogy recently compiled statistics tracking the top health systems along several metrics, as of January 1, 2025, including total revenue (Kaiser Permanente), patient service revenue (HCA Healthcare) and patient revenue growth (BJC Health System). Health system margins dipped below 1% for the first time in 15 months, according to a recent report. The report... READ MORE

President Trump unveiled his 2026 budget proposal. Key health care takeaways include: 1) The Department of Health and Human Services will receive funding to promote nutrition, physical activity and healthy lifestyles; 2) VA medical centers will receive additional funding, and veterans will be able to access care from local providers; 3) funding for National... READ MORE

Indiana will become the 11th state to prohibit or limit physician noncompete agreements with hospitals after the Indiana legislature passed a bill (which the governor is expected to sign) that will ban all such noncompetes entered into on or after July 1, 2025. Hall Render will host a webinar on this topic on May... READ MORE

VMG published its 2025 Health Care M&A Report. Key takeaways: 1) Health systems are focused on portfolio optimization and improving operating margins; 2) the use of AI is a key strategy being employed by health systems to improve financial performance; and 3) health systems are creating joint ventures with ancillary providers (outpatient, behavioral health... READ MORE

A recent article highlighted frictions between the development of behavioral health hospitals, which many advocates argue are necessary, and local resistance from neighbors who fear such facilities might undermine the neighborhood’s character. After recently breaking ground on a $777M cancer facility in Sugar Land, TX, MD Anderson announced that it is continuing to evaluate... READ MORE

We are taking a break from our regular briefing this week to focus on a list of trends we are seeing in the market. Take a look at our list—if we didn’t cover a trend you are seeing in the market, send us a note. We always enjoy hearing from our readers. As always,... READ MORE