Revista 3Q24 Subscriber Webinar – Abridged Slides
Last week, Revista held its subscriber webinar for 3Q24. For a limited time, an abridged version of the slide deck will be available as a free resource at the following link . . .
Medical Office Building: Is “Office” the right term?
Recently there has been discussion about changing the term “Medical Office Building” (MOB) to an alternative that does not include the word office. In order to gauge our industry’s thoughts, Revista’s Rising Leaders Council (RLC) worked on a survey that went out last month, which had the following results:
MOB Rents by Region
Which regions have the highest rents? According to the following graph, which covers the largest metro areas across the U.S., the Pacific region is the outlier. In 2Q24, the Pacific had asking rents 29% higher . . .
2Q2024 Snapshot
What direction has the MOB market been going in 2024? In this article we are focusing on the Top 100 metro areas. The table below shows a snapshot of the changes observed for key metrics in the second quarter of this year. Inventory continued . . .
Which Markets have the Largest Construction Pipeline Relative to Their Size?
Typically, when we report the top construction markets, markets are ranked by the total square footage that is under construction. In the table below we are instead sorting by this number relative to the market size. This highlights some of the smaller markets that have a lot of supply growth in the pipeline. Madison, WI . . .
Medical Office Inventory Growing at a Slower Rate
Over the past year or two, new construction projects have faced the headwinds of elevated labor, material, and financing costs. Because of this, we are now seeing inventory growth running at a slower pace. The graph below shows the amount of MOB square footage that finished construction on an annual basis, as a percentage of the inventory. The average over the past 10 years is about . . .
Construction is Strong for Behavioral Health and Rehab Hospitals
Recently, the number of new construction projects has been low for the medical real estate industry. However, certain property types have been going against the current and have seen higher activity than usual. Two that stand out are . . .
2024 Outpatient Development Report
In partnership with Health Care Real Estate Insights (HREI), Revista has published their annual outpatient development report. The 2024 report covers all medical outpatient real estate developments that either broke ground or completed in the previous year . . .
Cap Rates Move Up Again in 4Q2023
The average cap rate for medical office building (MOB) transactions moved up to 7% in the last quarter of 2023. This is up 90 basis points from one year prior. A pricing gap between on and off campus MOBs remains, with on campus coming in 30 basis points lower at 6.7%. Despite the strong underlying fundamentals, investor demand is being limited by stringent capital conditions . . .
Has Construction been Concentrated in Larger or Smaller Markets?
2023 was a slow year for medical office developments, with around 12 million square feet of projects that broke ground. This is about 45% lower than the average over the past decade. However, 12 million square feet is still a substantial increase in supply, and it is interesting to observe how different markets are reacting. In the graph below
Rate Cuts on the Horizon
For all of 2023 investors have been waiting for more clarity on the monetary policy path. The FOMC meeting last week provided what many have been waiting for. The median projection for the federal funds rate is now 4.6 for the end of 2024. This leaves room for three 25 basis point cuts throughout the year. While not shown in the graph below, the full range of forecasts for 2024 is 3.9 – 5.4. This indicates that all the meeting participants are predicting no rate hikes in 2024, which is a first for this year.
MOB Fundamentals Remain Steady
Development and acquisition activity is currently suppressed in the medical office sector. However, this does not reflect a wavering in the underlying performance of medical assets. The graph below is from our 3Q23 Industry Fundamentals Report, which tracks a group of large medical office portfolios containing approximately 150 million square feet. It shows the average NOI per occupied square foot, which has continued to tick up, now at a level of $23.20.
Are MOB Sales Taking Place in the Current Environment?
The year of 2023 has brought significant drops in sales activity across the commercial real estate sector. The higher cost of capital is driving investors into cautiousness and the healthcare real estate market is not immune …
MOBs Located on a Hospital Campus vs. MOBs Close to a Hospital Campus. Is there a Difference?
Historically, Revista has categorized medical office buildings (MOBs) into two categories, on a hospital campus or off. However, recently Revista has developed a third category, adjacent. These are the properties that fall within a quarter mile of a hospital campus footprint. Conventional thought suggests that on-campus assets demand a premium, but what about the buildings just outside of a campus?
MOB Construction Projects, Are All Types being Affected Uniformly?
If you have been staying up to date with Revista’s most recent construction data, you know that over the past few quarters, construction has been down across the board. However, the magnitude of the depression may depend on the characteristics of the project.
MOB Cap Rates Continue to Expand in 2Q23
Within the past year, the average cap rate for a medical office building was 6.5. This is up about 60 basis points from one year ago.
MOB Construction Continues to Drop in 2Q23
Recently we’ve been observing a downward trend, which has been reinforced by the current quarter. On a quarterly basis, 2Q23 only had around 2 million square feet start construction.
2023 Outpatient Development Report Recap
When looking at all outpatient projects, Hammes developed the most with a count of 12, for a total of 769,658 sf.
2022 Top Outpatient Developers – Developer Owned Projects
Overall, Revista tracked 44.9 million square feet of outpatient developments in 2022, with 18.8 million (42%) being done by third-party developers
Construction Slows in 1Q23
With 23.4M for MOBs and 27.7M for hospitals, both are falling off the highs seen in 2022.
Alternative Asset Sales Activity
What level of sales activity are we seeing around alternative types of medical real estate?
Rehab Hospital Projects Maintain Strong Pipeline
Despite economic headwinds, rehabilitation hospitals have seen escalated development over the past couple of years. The chart below focuses on the scope of projects that started construction each year. We …
The Fed’s Expectations for 2023
Last week the Federal Open Market Committee (FOMC) decided to raise the target range for the federal funds rate to 4.25% – 4.5%, which was a 50-bps increase. After several 75-bps bumps...
Construction Starts have Remained Strong in Select Markets
If we look at construction starts over the past year, we can see that a handful of markets have remained very strong despite increasing market headwinds. At a national level, annualized construction starts have been stable throughout 2022, hovering around 26 million square feet.