There’s plenty of talk in the medical office building (MOB) sales sector that even though demand remains as high as ever for the product type, the volume has been quiet so far in 2019. Second quarter (Q2) and year-to-date MOB sales statistics compiled by healthcare real estate (HRE) data firm Revista, which provides a variety of HRE data to subscribers, confirm this notion.
Is the speculative MOB market overheating once again? Data from Annapolis, Md.-based research firm Revista indicates that it could be, as the amount of speculative MOB space, or space not affiliated with health systems, has reached a four-year high point when compared to health system-affiliated space.
The medical real estate sector is seeing increasing levels of transaction activity, particularly across hospital real estate and medical office buildings
The Revista mid-year 2017 construction report says to expect 20.9 million square feet (SF) of MOB deliveries in 2018, which would be a rise of 10% over 2016’s 19.0 MSF delivered. And overall, 64% of the MOB expected deliveries in 2018 are expected to be off campus. That is up from 54% observed in 2014.
Well, the time certainly seems right to sell in 2017, as capitalization (cap) rates – the estimated first-year return on an investment – have reached all-time lows. Many high-quality portfolios and single MOBs with credit-rated tenants are trading at cap rates of 6 percent and below, some right around or even under 5 percent.
What are the drivers of change in the medical real estate market and how will the delivery of care shift to better meet the needs of patients? Plus, patient experience is a hot and challenging topic right now - and one where facility design and operations plays an important role. How do health systems and other healthcare industry experts evaluate the market – and patients – to develop their emerging delivery strategies? Should providers focus on medical office buildings (including multi-specialty MOBs); freestanding emergency departments; urgent care facilities; surgery centers; mixed-use healthcare, office and retail facilities; or physician-owned group practice clinics, among others?
...although roughly 25% of inventory is investor owned nationally, the stats vary widely by metro. Some areas are predominantly owned by healthcare providers while other areas have a significant portion, sometimes majority, of the real estate owned by a third party - whether that be a REIT, institutional fund or private investor.