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The MOB Scene

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

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 

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

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?

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

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

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

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

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

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

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

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

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

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

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.

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

Occupancy in Outpatient Medical Rides High in “Tertiary” Real Estate Markets

December 20, 2024 by Mindy Berman

Long-time owners of healthcare properties have recognized this phenomenon for a while – tertiary markets offer high occupancy and high probability of renewal – contrary to conventional investment wisdom in . . .

Read moreOccupancy in Outpatient Medical Rides High in “Tertiary” Real Estate Markets
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RSS Recent Blog Posts

  • 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
  • Declining Space Availability for the Outpatient Sector July 30, 2026
    Revista recently held its 2nd quarter subscriber webinar. One of the trends we highlighted was total square feet of MOB space per ambulatory employee. The post Declining Space Availability for the Outpatient Sector appeared first on RevistaMed.
    Mike Hargrave
  • Will MOB Financing Continue to Trend Upwards? June 26, 2026
    If you have been following medical office sales activity, you know that transaction volume is moving upwards. Another angle for viewing the financial environment is to look at the number of new mortgages. Looking at the mortgage trend . . . The post Will MOB Financing Continue to Trend Upwards? appeared first on RevistaMed.
    Stephen Lindsey
  • The New York Metro MOB Market is on the Upswing! June 25, 2026
    The New York (NYC) metro medical office market (MOB), which saw its occupancy rate fall as a result of the Covid-19 outbreak, is now on the rebound.  NYC’s MOB market, prior to the pandemic was extremely tight and hovered around 94%. The post The New York Metro MOB Market is on the Upswing! appeared first […]
    Mike Hargrave

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