Articles and Blogs

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opened a behavioral health facility in Florence, South Carolina, to expand mental health services and replace an outdated facility.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

Earlier this month, the Federal Trade Commission (“FTC”) withdrew its complaint challenging the IQVIA and Propel Media merger after the parties announced their intent to abandon the deal. The decision comes after the FTC successfully secured a preliminary injunction in the District Court for the Southern District of New York (“the Court”) in January.... READ MORE

On June 27, 2023, the Federal Trade Commission (“FTC”), in concurrence with the Antitrust Division of the Department of Justice (“DOJ”), announced plans to publish a 133-page Notice of Proposed Rulemaking (“Notice”) to amend and overhaul the Hart-Scott-Rodino Form and Instructions. The Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended, requires all persons contemplating... READ MORE

Background In a press release dated February 3, 2023, the Department of Justice’s Antitrust Division (“DOJ”) announced the withdrawal of three important policy statements that health systems and providers have relied upon for decades in ordering operations, setting internal protocols, and conducting diligence during transactions. The three policy statements include, Department of Justice and... READ MORE