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New Medical Office Building Rents Substantially Higher Than Pre-Pandemic Era

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Rents for medical office buildings are getting a closer look in this challenging economic period for commercial real estate as the sector’s defensive qualities can be a comfort for investors.

Medical office features long-term leases, reliable net operating income with predictable but modest rental increases, and steady average national occupancy at 92% through all cycles, according to JLL’s latest Healthcare Perspectives report.

These are an offset to higher rent growth from in-favor, high-growth sectors such as industrial and multifamily, with more cyclical characteristics.

“The current inflationary environment has presented headwinds on a relative basis for medical offices,” JLL said. “However, owners and purchasers of medical properties with leases signed prior to last year will likely benefit in the future from upward fair market rent adjustments from tenants that renew in place or new tenants that move in.”

Recently Constructed MOBs Performing Well

Rents for recently constructed and to-be-delivered MOBs are up substantially from the pre-pandemic era, JLL said.

Rent for a build-to-suit project commissioned today that is $11.53 per square foot higher or 53% more than a similar MOB built immediately prior to the pandemic increased from $21.91 per square foot in 2020 to $33.43 per square foot in 2023, JLL figured.

Meanwhile, property sectors such as industrial and multifamily have offered higher asking rent growth in the last three years, averaging 13.1% and 7.9%, respectively, compared to MOB which averaged just 5.2% growth during the same period.

JLL said the average medical office rent growth of 2% annually historically has been challenged in the current inflationary environment with CPI increasing 5% year-over-year through March 2023. That CPI read was the lowest monthly increase since fall 2021.

Investors can also take to heart that rents on renewals of in-place leases are frequently shown to be at 4% or more.

“Contractual annual rent escalations of 3% are becoming more universally accepted versus the historical 2% average,” according to the JLL report.

 

Source: GlobeSt.

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Anchor Health Properties Buys Denver Medical Office Building

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Anchor Health Properties has acquired Renewal Medical Center, a 36,541-square-foot building in Lone Tree, Colo., through its Chestnut Healthcare Fund II, co-managed with Chestnut Funds. Medical Properties of America sold the asset for $13 million, according to Douglas County records.

First Citizens Bank provided $18.7 million in debt financing, with a maturity date set for 2027.

Anchor Health will also provide asset and property management services. Renewal Medical Center was 97 percent occupied at the time of sale. Managing Partner Greg Trainor with Fairfield Asset Advisors represented the seller in the transaction.

The medical office building previously changed hands in 2015, when it traded for $5.2 million, with Baceline Investments as the seller, according to CommercialEdge data.

Rocky Mountain Kidney Care is the main tenant, with the roster also including Insight Surgery Center, Quantum Health Solutions, Broadway Plastic Surgery, T-Mobile and Sprint/Crown Castle. A variety of medical services are available at the property, including nephrology, ophthalmological and cosmetic surgery, plastic surgery and integrative medicine.

Previous owners conducted two rounds of renovations. The 1987-built, Class B asset received a cosmetic upgrade in 2005 and was fully redeveloped in 2012.

Located at 9777 S. Yosemite St., the building is 20 miles from downtown Denver and has access to Interstate 25, with Sky Ridge Medical Center less than 2 miles away. Other medical service providers in the area include UCHealth Lone Tree Medical Center, Lone Tree Medical Plaza, with Centura Parker Adventist Hospital 9.4 miles east.

As of April, 24 medical office buildings—totaling 374,651 square feet—traded in the Denver market over a 12-month period, CommercialEdge data shows. Back in October 2022, another Lone Tree facility changed hands when Healthcare Realty Trust acquired Park Meadows Medical Center from Gulftech International in a $14.8 million transaction.

Denver has a supply pipeline of 10 medical facilities in various stages of development, set to add 611,027 square feet to the existing inventory. The market’s largest medical office underway is a 130,000-square-foot property, developed by Intermountain Healthcare and slated for completion in 2024.

 

Source: Commercial Property Executive

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Three Healthcare Real Estate Professionals Launch Capital Healthcare Properties And Form Partnership With HSG Medical To Develop And Acquire Medical Office Buildings

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Three experienced commercial real estate professionals serving a niche in the national medical office building (MOB) sector have formed Capital Healthcare Properties to address the needs of leading healthcare systems, physician groups and specialty providers.

Daniel Ahlering, Jack Sullivan and Jay Heald, the firm’s founding principals, have also formed a programmatic joint venture partnership with HSG Medical, an affiliate of Hubbard Street Group, to facilitate and launch new development and acquisition initiatives.

Ahlering, Sullivan and Heald will draw on their recent experience with a Chicago-based MOB developer where they completed more than one million square feet in new developments and leasing assignments and earlier within the capital markets and tenant representation groups at JLL. Capital Healthcare Properties provides a comprehensive menu of services ranging from ground-up development to acquisitions to leasing of owned and third-party assets. On the development front, the joint venture will target medical office buildings ranging from 20,000 to 100,000 square feet.

“Our primary goal in forming Capital Healthcare Properties is to leverage our collective experiences, resources and relationships to lessen a client’s real estate burden. This allows them to focus on providing tremendous patient care, their core business,” said Jay Heald, Managing Partner, Capital Healthcare Properties.

In partnering with HSG Medical, Capital Healthcare Properties will draw on the experiences and expertise of the two HSG Medical Principals, John McLinden and Kage Brown. Combined, the Principals of HSG Medical have over 45 years of national real estate development experience and have developed over 12.5 million square feet and 5,000+ residential units, exceeding $3 billion in aggregate capitalization for these projects.

“Strategically we believe the health care industry represents a huge growth opportunity for commercial real estate,” said Kage Brown, Principal, HSG Medical. “In the aftermath of the pandemic, medical offices remain one of the most resilient and recession-resistant commercial real estate sectors, with low correlation to greater economic and geopolitical trends.”

HSG Medical will provide capital, investment oversight, accounting and administrative services along with office space for the joint venture. The partnership will operate independently from Hubbard Street Group.

The principals’ resume of involvement in new development projects includes work with Northwestern Medicine, Advocate Health, Northwest Community Hospital, HonorHealth and The CORE Institute, among others, in Illinois and Arizona. The development projects, with varying degrees of complexity, range in size from 20,000 to 180,000 square feet. Further, several projects were awarded national and regional awards for development excellence. Specific project highlights include:

• Oak Brook Commons, a 180,000-square-foot ground-up development for Northwestern Medicine that was completed in the fourth quarter of 2022 and is located in Oak Brook, Ill.

• NCH Buffalo Grove Outpatient Care Center, a 71,000-square-foot ground-up development for Northwest Community Hospital that was completed in the third quarter of 2021 and is located in Buffalo Grove, Ill. The project has been recognized for excellence by a variety of healthcare and real estate organizations.

• Mercy Medical Commons II, a 60,000-square-foot ground-up development anchored by The CORE Institute that was completed in mid-2020 and is located in Gilbert, Ariz. The project has been recognized for excellence by a local real estate media outlet.

“Delivering successful outcomes is all about relationships, tactical execution and regular communication during all phases of a client project,” said Dan Ahlering, Managing Partner, Capital Healthcare Properties. “Our collective experiences and contacts in the industry, and our partnership with HSG Medical, give us the tools and insights to uniquely serve our clients and redefine the client-service provider relationship.”

The Healthcare Environment

Despite many issues facing the healthcare sector—labor shortage/costs, supply chain issues, inflation and reimbursement pressure, etc.—there remains a tremendous need and appetite for outpatient medical office investment and development. This is due to a variety of market forces that include a shift in patient care preferences away from hospitals to outpatient and ambulatory surgical centers.

The shift already was occurring with policy/regulation changes, purchaser preferences, innovation and a lower provider operating cost, and then was exacerbated during and post-pandemic.

Outpatient facility revenue is estimated to be approximately 50% of hospital revenue and those facilities provide a lower cost basis versus inpatient or HOPD sites. According to Kaufman Hall and JLL, outpatient revenue grew by 8% in 2022. Further, the JLL report says outpatient demand for ages 55+ alone is forecast to grow 16.9% by 2025.

“Hospitals, healthcare systems and physician groups recognize the need to invest in their outpatient strategy, especially as the healthcare environment, business climate and patient preferences constantly evolve,” said Jack Sullivan, Managing Partner, Capital Healthcare Properties. “We’ll make those investments more sound because of the depth of resources we bring to each assignment.”

 

Source: HREI