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Micro-Hospitals Continue To Make Inroads In US Healthcare

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Sila Realty Trust just announced completion of an $85.5 million healthcare portfolio acquisition whose assets were either micro-hospitals or a facility to offer similar services. It was the latest illustration of the continued growth of this healthcare trend.

The portfolio, located in Arizona and Texas, comprise four built-to-suit micro-hospitals and one freestanding emergency department, totaling approximately 158,000 square feet on a combined 17.5 acres. Each of the micro-hospitals is licensed for 8-inpatient beds, and offers a 13-bed emergency department, operating room, laboratory, diagnostic imaging suite, and a pharmacy. The freestanding emergency department is a 13-bed full-service emergency center, constructed to also offer the same services as the micro-hospitals.

Micro-hospitals have been growing in importance for at least a half dozen years. They are inpatient facilities with a handful of short-stay beds offering some of the same services as larger hospitals—typically emergency services, imaging, pharmacy, lab work and sometimes even outpatient surgeries and primary care—but are cheaper to operate.

Healthcare loves them and their ability to offload demand from large institutions while surgically, if you will, addressing markets. Net lease loves them for their ability to expand need for real estate in areas that might not be able to support a major hospital.

A new example is the micro-hospital expected to open next month in Bellevue, Wisconsin. The Green Bay ER & Hospital is run by Nutex Health, a Houston-based company. It will have six overnight beds and have an emergency department as well as imaging and lab services. There are inpatient and outpatient suites, including pediatric rooms and separate isolation rooms, but no operating rooms.

“We want to start smaller and grow with the community,” facility administrator Sonja Hansen told the Green Bay Press Gazette. “Whether 10 people come through the day or we have 30, we can meet those needs.”

ChristianaCare, which operates three hospitals in northern Delawareand the surrounding area, is expanding into southeastern Pennsylvania through a joint venture with Emerus Holdings, reported the Delaware Business Times. The JV will open three micro-hospitals by 2025 with health and wellness centers and potentially primary care, outpatient diagnostics, and other specialty services.

 

Source: GlobeSt.

This Will Impact Florida Healthcare For Years To Come

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Advancements in technology, changes in legislation and the expansion of ambulatory care are changing the face of healthcare across the U.S.

Florida’s healthcare industry is experiencing a major shift as real estate prices rise and proposals for new facilities continue to pop up since the elimination of the Certificate of Need rules. Healthcare industry leaders will discuss these issues at Bisnow’s upcoming South Florida Healthcare Real Estate Event on Aug. 8.

As of July 1, Florida healthcare facilities are no longer required to obtain a Certificate of Need from the state before beginning construction. Jackson Health System Chief Operating Officer and Executive Vice President Don Steigman says he has already seen the impact on construction.

“There has already been a plethora of planned expansion in the ambulatory arena,” Steigman said. “Hospitals, physician practice groups and other healthcare providers have begun placing a greater emphasis on the outpatient side of care, giving communities access to free-standing emergency rooms, urgent care centers and group practices.”

Bisnow spoke to Steigman to learn more about what this change means for the future of healthcare in Florida and to get a preview of what he will be speaking about at Bisnow’s South Florida Healthcare Real Estate event.

Bisnow: Why is Bisnow’s upcoming South Florida Healthcare Real Estate event so important to you and what will you be speaking about?

Don Steigman: Since the elimination of the Certificate of Need rules, hospitals can be opened in Florida without the state having to approve the need for new hospitals. These healthcare facilities will still go through a licensing process, but they won’t have to prove that there’s a need in a community to build a facility.  This is a huge change that will impact the landscape of healthcare real estate in Florida for years to come.

Bisnow: Can you tell me a bit about what you do at Jackson Health System?

Steigman: I’m the chief operating officer for Jackson Health System. I’m responsible for the day-to-day operations of our hospitals, support services and ambulatory services, including our outpatient facilities and urgent care centers. Additionally, I’m responsible for the strategic growth of our operations.

Bisnow: What is the most pressing issue currently impacting healthcare real estate in South Florida?

Steigman: Right now, I believe it’s the challenges that come with aligning the real estate values in South Florida with the income that will be produced by these new healthcare enterprises. There are tremendous economic pressures placed on healthcare facilities and these pressures, combined with rising real estate value in South Florida, are limiting the feasibility of some proposed new healthcare projects.  On a more positive note, the healthcare real estate market is growing throughout all of Florida and I believe there will be many opportunities for new ambulatory healthcare facilities to open in cities across the state.

Bisnow: Outside of your work, what are you most passionate about?

Steigman: When I’m not working, I enjoy reading, running and going on hikes. I’m also on the board of my local chapter of The Liver Foundation.

 

Source: Bisnow