Articles and Blogs

The health care transactional landscape may have been quieter than anticipated at the beginning of 2025, with providers experiencing financial strains, but the year finished out with a high level of activity, marked by opportunistic growth strategies. Transactions will continue to be anything but “cookie-cutter.” In this article, we highlight eight M&A trends demonstrating... 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

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

In 2024, the health care M&A marketplace remained dynamic with established industry players and disruptive new entrants engaging in a variety of transactions despite continuing inflation, fluctuating interest rates and a contentious presidential election creating significant uncertainty for providers and investors alike. As Hall Render’s Health Transactions team reflects on 2024 and looks ahead... READ MORE

On March 13, 2024, Indiana joined a growing number of states in enacting health care merger notification laws when Governor Eric Holcomb signed Senate Enrolled Act No. 9 (“SEA 9”) into law. SEA 9 places increased scrutiny on health care mergers and acquisitions throughout the state by requiring certain health care entities involved in... READ MORE