According to a recent report, cardiology outpatient strategy is shifting towards ambulatory surgery centers (“ASCs”) and away from hybrid office-based lab/ASC models to streamline staffing, space and back-office functions. Many health systems are prioritizing cardio ASC developments that are physically connected to, or in close proximity with, hospitals to support clinical integration and quality oversight. Nearly one in...Read More

Over the past few years, we’ve seen an increase in hospitals and health care systems using credit tenant lease (“CTL”) financing for new outpatient projects. Below is an overview of CTL financing. Overview – CTL financing has been around for many years. In some circles, it’s referred to as lease financing or synthetic lease financing....Read More

Williamson Health’s (Franklin, TN) Board of Trustees has voted to sell the county-owned health system to Ascension. The total value of the deal is over $950M, including a $700M purchase price and over $250M in commitments for facility improvements, electronic health records and other strategic projects. The deal remains subject to approval by the Williamson County Commissioners. Bridgepoint Group will...Read More

Following a series of hospital sale-leaseback transactions that preceded bankruptcy filings in 2024 and 2025, lawmakers at both the federal and state levels have taken notice. In response, legislators have introduced measures aimed at regulating, or increasing oversight of, certain health care real estate transactions. These efforts seek to protect community hospitals from transactions that...Read More

The Surry County (NC) commissioners unanimously approved a deal to transfer Northern Regional Hospital to Novant Health. The agreement protects more than 1,000 jobs, with Novant committing more than $135M in investment. After the Charity Hospital building in New Orleans sat empty for over 20 years, Tulane University has announced plans to buy and then...Read More

Atrium Health has submitted a certificate of need application to develop a new hospital in Wilmington, North Carolina. Atrium’s application follows applications submitted by Novant Health and UNC Health for new hospitals in Wilmington. State regulators have determined the Wilmington area is in need of 225 more hospital beds. Cone Health has submitted a certificate...Read More

The Veterans Health Administration and HCA occupy the largest amount of REIT- and investor-owned outpatient space, according to a recent Revista post; however, most health systems overwhelmingly favor owner-occupied outpatient space. On the development side, third-party development accounts for about 30% of health system MOB projects, with the remainder being self-developed. High-quality, well-located medical office...Read More

From time to time, we like to take a break from reporting the headlines and tell you what our real estate attorneys, paralegals and consultants are working on across the country. Senior Housing Projects – We can’t say enough about the high level of senior housing activity right now. The public Real Estate Investment Trusts...Read More

As announced on May 1, WakeMed plans to merge with Atrium Health. However, a recent article reported that UNC Health submitted an unsolicited $5B merger proposal to WakeMed (as compared to the $2B bid offered by Atrium). WakeMed’s board of directors ultimately proceeded with Atrium, citing concerns over market consolidation and reduced health care choice...Read More

If you’ve been watching the real estate news over the past two years, you have probably noticed an increase in senior housing transactions. A number of the health care real estate investment trusts (“REITs”) and specialty REITs that have historically focused on nursing homes have pivoted to investing in senior housing communities that offer independent...Read More