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The MOB Scene

The Revista 4Q23 Subscriber Webinar – Abridged Slides

January 26, 2024 by Mike Hargrave

Revista held its 4th quarter, 2023 subscriber webinar recently. During the webinar, it was reported that occupancy rates were continuing to rise for Medical office properties in the top 50 metros.

Read moreThe Revista 4Q23 Subscriber Webinar – Abridged Slides

Rate Cuts on the Horizon

December 19, 2023 by Stephen Lindsey

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.

Read moreRate Cuts on the Horizon

While MOB Rent Levels are Strongest in Coastal Markets, Rent Growth is Fastest Elsewhere

December 18, 2023 by Mike Hargrave

For healthcare tenants in costal markets such as Los Angeles, San Jose or San Francisco, it is understood that higher rent levels come with the territory.  Historically hard to build, high demand markets on the coasts have allowed rent levels to build over the years.  In fact, the 2 most expensive rent markets (of the top 50 metros) for MOBs in 3Q23 are San Jose ($45.81 avg NNN rent) and San Francisco ($41.00 avg NNN rent). 

Read moreWhile MOB Rent Levels are Strongest in Coastal Markets, Rent Growth is Fastest Elsewhere

MOB Fundamentals Remain Steady

November 30, 2023 by Stephen Lindsey

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.

Read moreMOB Fundamentals Remain Steady

Demand for Outpatient Space Growing Faster than Supply

November 28, 2023 by Mike Hargrave

It is no secret that many healthcare services and procedures are increasingly moving towards an outpatient setting. Advances in technology, cost efficiencies and other factors have enabled this move which has led to consistent and steady growth of demand for outpatient space, and the underlying supply of such space. Revista normally tracks the supply/demand picture through its reporting of absorption, completions and occupancy rates.

Read moreDemand for Outpatient Space Growing Faster than Supply

Rent Inflation Impacting Outpatient Sector

October 25, 2023 by Mike Hargrave

Revista recently held its 3Q23 Subscriber Webinar.  One of the topics discussed was rent inflation. The charts below show Avg. NNN and Avg. 90th percentile base rents for medical office …

Read moreRent Inflation Impacting Outpatient Sector

Are MOB Sales Taking Place in the Current Environment?

October 24, 2023 by Stephen Lindsey

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 …

Read moreAre MOB Sales Taking Place in the Current Environment?

MOBs Located on a Hospital Campus vs. MOBs Close to a Hospital Campus. Is there a Difference?

September 21, 2023 by Stephen Lindsey

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?

Read moreMOBs Located on a Hospital Campus vs. MOBs Close to a Hospital Campus. Is there a Difference?

HCRE Construction Spending Peaks in 2023

September 21, 2023 by Mike Hargrave

Healthcare Real Estate (HCRE) spending on construction has established a recent peak in 2023.  Revista tracks Hospital and Medical Office (or Outpatient Medical) construction based on total project values including land, hard and soft costs and buildout.

Read moreHCRE Construction Spending Peaks in 2023

MOB Rent Growth Acceleration Slows in 2Q

August 30, 2023 by Hilda Martin

Historically, Medical Office Building year-over-year rent growth has been right around the 2% mark. During the pandemic shutdowns there was a meaningful slowdown, but it rebounded shortly after as businesses …

Read moreMOB Rent Growth Acceleration Slows in 2Q

MOB Construction Projects, Are All Types being Affected Uniformly?

August 29, 2023 by Stephen Lindsey

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.

Read moreMOB Construction Projects, Are All Types being Affected Uniformly?

Exploring a Sale-Leaseback in Today’s Economic Environment

July 27, 2023 by Chase Jarrett

J As a physician-owner of your medical real estate, it is important to understand the factors that can impact the value of your building. Additional variables arise when partners have varying interest in the practice …

Read moreExploring a Sale-Leaseback in Today’s Economic Environment

MOB Cap Rates Continue to Expand in 2Q23

July 27, 2023 by Stephen Lindsey

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.

Read moreMOB Cap Rates Continue to Expand in 2Q23

High Demand in the Sunbelt, Phoenix Tops the List

July 27, 2023 by Hilda Martin

The Northeast and Pacific Coast markets have always had some of the highest occupancy rates for medical office buildings being the more expensive, high barrier-to-entry cities. However, considerable growth in …

Read moreHigh Demand in the Sunbelt, Phoenix Tops the List

Transaction Activity has Slowed, but Providers are still Selling

June 29, 2023 by Hilda Martin

Transaction activity for MOBs has certainly slowed in 2023 due to higher interest rates and tighter lending requirements, but deals are still getting done. A bright spot still seems to …

Read moreTransaction Activity has Slowed, but Providers are still Selling

MOB Construction Continues to Drop in 2Q23

June 22, 2023 by Stephen Lindsey

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.

Read moreMOB Construction Continues to Drop in 2Q23

ASCs – Past, Present & Future- An Observation

May 25, 2023 by Jim Coman

Over the last 30 years, there has been an influx in Ambulatory Surgery Centers (ASCs) for reasons including, but not limited to, physician demand, employee retention, rising case migration and …

Read moreASCs – Past, Present & Future- An Observation

2023 Outpatient Development Report Recap

May 25, 2023 by Stephen Lindsey

When looking at all outpatient projects, Hammes developed the most with a count of 12, for a total of 769,658 sf.

Read more2023 Outpatient Development Report Recap
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  • Rehabilitation hospital construction showing signs of rising in 2025 July 29, 2025
    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 […]
    Mike Hargrave
  • Hospital Performance Impacts Outpatient Occupancy & Rent July 29, 2025
    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 … The post Hospital Performance Impacts Outpatient Occupancy & Rent appeared first on RevistaMed.
    Hilda Martin
  • Medical Space in the Most Populous Metros June 30, 2025
    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 . . . The post Medical Space in the Most […]
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  • Revista Releases the 2025 Top Owners of Medical Real Estate Report June 24, 2025
    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. The post Revista Releases the 2025 Top Owners of Medical Real Estate Report appeared first on RevistaMed.
    Mike Hargrave

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