Articles and Blogs

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... 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... 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... 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.... 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... 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... READ MORE

Revista published a pair of interesting blog posts: (1) the amount of general hospital space under construction in Q3 of 2025 has continued a multi-year climb that started in 2022; and (2) noting that the least expensive MOB rents (bottom 10th percentile) have grown at just 1.3%/yr since 2018, while moderately priced properties (50th... READ MORE

As we head into the holidays, we want to thank you for being a valued reader of our Weekly Hospital Real Estate Briefing. We hope you are able to enjoy time with friends and family in the days ahead. To provide you with a few timely topics to consider over the holidays, we’ve compiled... READ MORE

Fitch Ratings’ 2026 outlook for the nonprofit hospital sector was “neutral,” and forecasts median operating margins between 1-2%, while noting largely healthy volume trends and strong balance sheets. It expects a roughly equal number of ratings downgrades and upgrades among its portfolio, and noted that the industry is still investing in patient tower and... READ MORE

In 2025, we worked on a number of significant land transactions where hospitals acquired land for new hospital campus projects. From our perspective, it seemed like an increase in land transactions when compared to previous years. Here are 10 observations based on our work on these transactions: Resource Race – Hospital systems were aggressive... READ MORE