Articles and Blogs

On October 9 and 10, our Firm hosted The Real Deal Summit in Scottsdale, Arizona. It was a conference focused on growth and strategy trends in the hospital and health system industry. We had a great turnout of hospital and health care executives, in-house counsel and leaders from across the country. Here are our... READ MORE

Remedy Medical Properties and Kayne Anderson Real Estate announced the acquisition of a portfolio of outpatient medical assets from Welltower for $7.2B, totaling approximately 18M sf across 296 properties in 34 states. The transaction is the largest MOB deal to date and makes Kayne/Remedy the largest MOB owner in the country. In its latest... READ MORE

JLL published the results of its 2025 Patient Consumer Survey. Key takeaways: 1) access and affordability are persistent challenges for U.S. health care; 2) location and convenience of a health care facility are key to choosing a provider; and 3) the quality of a particular health care facility is a top factor when choosing... READ MORE

U.S. Senators Markey, Sanders and Blumenthal introduced the Stop Medical Profiteering and Theft (MPT) Act, which aims to ban sale-leasebacks between health systems and REITs if such a deal would “weaken the financial status” of the provider, as determined by HHS. The bill would also make certain changes to REIT income tax laws. The... READ MORE

According to a recent report, ASC volumes are expected to expand by 9% between 2023 and 2028, driven by site-neutral reimbursement, advancements in outpatient surgical techniques and cost savings to patients and payers. ASCs generated $45B in 2024 revenues, a figure projected to climb to $57B by 2030. Medical City Health Care is expanding... READ MORE

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