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Home / 2025

Archives for 2025

A Look at 1Q25’s highest occupied Medical Office Market

April 28, 2025 by Mike Hargrave

That’s right!  With a 1Q25 occupancy of 96.9%, Asheville NC is the highest occupied market of the largest 125 metros RevistaMed tracks each quarter.  Asheville, which is still recovering from the effects of Hurricane Helene in September of 2024, can find strength within its healthcare market and within the MOB sector.

Read moreA Look at 1Q25’s highest occupied Medical Office Market

Cap Rates by Property Price

February 28, 2025 by Stephen Lindsey

Typically, the transaction stats we look at are only for MOB trades that are at least $2.5 million. However, we do have data on a solid portion of the smaller deals. In the chart below we compare cap rates based on the property price, including those under $2.5M . . .

Read moreCap Rates by Property Price

Fundamentals in Fast Growing Core Markets

September 26, 2025 by Stephen Lindsey

How have the fundamentals held up in fast growing markets? In the chart below, we are showing the 10 metro areas with the largest MOB inventory growth over the past 5 years. Only the top 50 largest markets were considered, so we are focusing on well-established areas. Raleigh showed the . . .

Read moreFundamentals in Fast Growing Core Markets

Here Are the Most Active Metros for MOB Transactions

November 20, 2025 by Mike Hargrave

RevistaMed tracks medical office (or medical outpatient) building transaction activity across the US and has a time series back to 2013.

Read moreHere Are the Most Active Metros for MOB Transactions

Hospital Construction Pipeline Swells to 79M Square Feet

December 22, 2025 by Stephen Lindsey

The amount of hospital space under construction is continuing a multi-year climb, now at a level of 79 million square feet. With an estimated value of $93 billion, the . . .

Read moreHospital Construction Pipeline Swells to 79M Square Feet

Hospital Performance Impacts Outpatient Occupancy & Rent

July 29, 2025 by Hilda Martin

With the passing of the One Big Beautiful Bill, many hospitals across the country will be facing additional financial pressures in coming years. Millions of people are estimated to lose …

Read moreHospital Performance Impacts Outpatient Occupancy & Rent

Inpatient Facility Construction Showed Strength in 2024

January 30, 2025 by Stephen Lindsey

The amount of new MOB construction has fallen since the peak in 2022, and the back end of 2024 was no exception. With right around 14 million sf breaking ground in 2024, the blue bar chart clearly shows 2024 had less than . . .

Read moreInpatient Facility Construction Showed Strength in 2024

Is MOB Construction Beginning to Rise?

September 24, 2025 by Mike Hargrave

Those involved in MOB construction have felt the challenges with getting projects started the past several years.  First, the Covid-19 pandemic created supply shortages and then the onset of inflation caused construction costs to rise significantly. 

Read moreIs MOB Construction Beginning to Rise?

Limited Transaction Volume to Start 2025

April 29, 2025 by Stephen Lindsey

The preliminary 1Q25 numbers are in, and they show that transaction volume has been slow to kick off the year. $1.5 billion worth of MOBs traded in the 1st quarter, and $8.9 billion traded over the past year. This suppressed level of activity is . . .

Read moreLimited Transaction Volume to Start 2025

Medical Space in the Most Populous Metros

June 30, 2025 by Stephen Lindsey

Nearly 70% of the medical office space in the US is located within the top 100 metro areas. The New York metro area alone makes up close to 5% of the national total. Urban areas contain the bulk of the population and medical space, but . . .

Read moreMedical Space in the Most Populous Metros

MOB Construction Update

May 29, 2025 by Stephen Lindsey

MOB construction has been slower than usual in 2025. Less projects are breaking ground than are completing, so the pipeline has been shrinking. In recent times, inventory has typically grown around 1.5% annually. Over the past year MOB inventory has grown . . .

Read moreMOB Construction Update

MOB Occupancy Rate Hovering at Cyclical High 

October 30, 2025 by Mike Hargrave

The Medical Outpatient Building or Medical Office Building sector (both MOB) is at a cyclical high in 3Q25.

Read moreMOB Occupancy Rate Hovering at Cyclical High 

MOB On Campus or Community Based? Opinions Differ by Owner Type.

February 28, 2025 by Hilda Martin

We often discuss the premium associated with MOBs located on hospital campuses compared to those situated off-campus. The difference in cap rate can be significant. However, when examining MOB inventory …

Read moreMOB On Campus or Community Based? Opinions Differ by Owner Type.

Outpatient & Inpatient Employment Growth

August 29, 2025 by Stephen Lindsey

Growth in the healthcare industry has continued to outpace the overall job market and we continue to hear in the BLS monthly job report that healthcare and social assistance is a leading contributor of job growth. The largest gains tend to be on the . . .

Read moreOutpatient & Inpatient Employment Growth

Rehabilitation hospital construction showing signs of rising in 2025

July 29, 2025 by Mike Hargrave

While outpatient construction has slowed down inpatient construction is holding steady to rising.  As you may know, Revista tracks inpatient general acute care hospitals, behavioral health hospitals, and inpatient rehabilitation hospitals (IRFs).  Within the IRF sector, Revista currently tracks over 500 rehabilitation hospitals in the US.  The sector has seen tremendous growth since 2014 growing from 306 open IRFs to 510 open IRFs as of 6/30/2025.  That’s growth of 67%! 

Read moreRehabilitation hospital construction showing signs of rising in 2025

Revista Releases the 2025 Top Owners of Medical Real Estate Report

June 24, 2025 by Mike Hargrave

Revista has updated and released to subscribers the 2025 Top Medical Real Estate Owners Report.
The 2025 Top Medical Real Estate Owners Report provides summary and detail analysis on the 50 US largest owners of medical real estate.

Read moreRevista Releases the 2025 Top Owners of Medical Real Estate Report

Rising Rents for Newly Built MOBs

March 31, 2025 by Stephen Lindsey

How have rising construction costs affected rents? Revista’s construction data continues to show increases in the cost of building an MOB. The average cost per square foot came in at $549 for completed MOBs in 2024. That is a . . .

Read moreRising Rents for Newly Built MOBs

Sales Activity Across Different Types of Healthcare Real Estate

October 31, 2025 by Stephen Lindsey

Medical real estate seems to be in a tide shift when it comes to sales activity. With a second 25-bps cut in the federal funds rate and the announcement of the Remedy/Welltower transaction, we already know 4Q . . .

Read moreSales Activity Across Different Types of Healthcare Real Estate

The Divergence in Base Rent Trends

December 22, 2025 by Mike Hargrave

The idea of a K-Shaped economy is a much talked about topic these days. The concept is that higher earners are doing quite well while those in lower to middle income brackets are struggling with stagnant wages and higher costs.

Read moreThe Divergence in Base Rent Trends

The Return of the Portfolio Premium

May 27, 2025 by Mike Hargrave

The graph below displays Average MOB cap rate trends for Portfolios vs. Single Properties.  From 2017 through 2022, the Average Cap Rate for MOB Portfolios was 63 basis points lower than single MOB properties that traded.

Read moreThe Return of the Portfolio Premium

Which MOB Markets have the Most Concentrated Ownership?

November 21, 2025 by Stephen Lindsey

To answer this, we analyzed how MOB square footage is spread across all the owners in each of the top 125 markets. The chart below lists the most concentrated markets, with . . .

Read moreWhich MOB Markets have the Most Concentrated Ownership?

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  • Revista Updates the Size and Scope of the Medical Real Estate Sector September 29, 2026
    Revista has updated the size and scope of the Medical Real Estate Sector (MRE or HCRE).  The October 2026 update shows that the HCRE sector (all inpatient and outpatient real estate) contains roughly 3.6 million square feet (SF) and carries a valuation of $1.6 trillion (T).  The post Revista Updates the Size and Scope of […]
    Mike Hargrave
  • Which Markets are Investors Gaining Share of Outpatient Real Estate? August 28, 2026
    In the table below we compare these two numbers for each of the Top 50 markets and rank them by the largest shift towards investor-ownership relative to the markets size. Birmingham tops the list with a net . . . The post Which Markets are Investors Gaining Share of Outpatient Real Estate? appeared first on […]
    Stephen Lindsey
  • Developers and Providers Turn to Conversion Opportunities August 27, 2026
    While attractive, conversion potential has historically been limited because medical requirements differ significantly from those of traditional office or retail buildings. Specialized HVAC, infrastructure to support heavy medical equipment, significant … The post Developers and Providers Turn to Conversion Opportunities appeared first on RevistaMed.
    Hilda Martin
  • Large Hospital Pipeline, but Starts Trending Down July 31, 2026
    There are currently 74.2 million square feet of hospitals under construction across the US. That is down year-over-year, but still a very string pipeline when compared to the past decade. There is a total of 237 . . . The post Large Hospital Pipeline, but Starts Trending Down appeared first on RevistaMed.
    Stephen Lindsey

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