New federal law will require hospitals to obtain separate NPIs and submit provider‑based attestations for off‑campus hospital outpatient departments (“HOPDs”) as a condition of Medicare payment starting in 2028. The changes remove prior flexibility for HOPDs by stiffening ownership, compliance and structuring requirements for these facilities. Echoing other recent reports, a recent VMG Healthcare M&A...Read More

Good Samaritan Medical Center (FL) announced massive plans to redevelop its West Palm Beach campus into a mixed-use health care district. Plans include a new 225-bed hospital, a medical office tower, workforce housing, luxury condos, a hotel and other mixed-use amenities along the water. The project is estimated to cost between $2B to $3B. Cleveland...Read More

In a recent interview, Alison Flynn Gaffney, CEO of two Banner Health hospitals, discussed how she applies a real estate perspective to hospital leadership. Prior to becoming CEO, she spent two years as president of the health care division at JLL, which imparted a unique perspective on leveraging hospital real estate portfolios for the benefit...Read More

Health care jobs accounted for more than half of all new jobs created last month, according to the most recent Bureau of Labor Statistics jobs report. One article said the health care industry is “propping up the job market.” The fastest growing health care jobs are: 1) nurse practitioners; 2) medical services managers; and 3)...Read More

Kaiser Permanente recently purchased seven acres near downtown Atlanta for $31.5M. Kaiser plans to solicit community feedback before determining what type of medical facility to construct at the site. The announcement follows Atrium Health’s 2024 purchase of 40 acres in downtown Atlanta. Colliers recently published a report on challenges faced by rural hospitals. The report...Read More

Hall Render’s Real Estate team frequently works with owners, operators and developers of specialty hospitals. One of our favorite types of specialty hospitals is the inpatient rehabilitation facility (“IRF”). Below is a summary of five things you should know about the IRF sector. Treatment – IRFs are designed to provide inpatient rehabilitation services to patients...Read More

Kaufman Hall published a summary of health system M&A data from 2025 with some interesting charts. A few highlights: (1) transactions involving a financially distressed party hit 43.5%, almost triple the rate in 2022; (2) correspondingly, the credit rating of the smaller party to the deal hit a record low in 2025; (3) the average...Read More

We frequently get calls from hospital systems, health care providers and investors regarding negotiating on-campus ground leases. They are certainly unique. Here are 10 business points to consider when negotiating on-campus ground leases. Premises – The land being leased can vary widely. We often see hospitals ground leasing only the footprint of the building. There...Read More

Health systems and physician groups largely held back on mergers and acquisitions in 2025 due to inflation, high labor costs, reimbursement uncertainty and new state laws targeting private equity. In 2026, deal activity is expected to increase as policy uncertainty clears up and health systems align with physicians to grow their ambulatory networks. PE firm...Read More

We hope everyone enjoyed some time off over the holidays. As we reflect on 2025 and head into the new year, we spent some time mapping out our hospital real estate predictions for 2026. We believe it will be a mixed bag for hospitals and health systems around the country. Most hospital systems will face...Read More