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Home / Mergers/Acquisitions

Mergers/Acquisitions

The “On Campus” Medical Office Premium is 14% in 3Q14

December 15, 2014 by Mike Hargrave

Investors paid an average of 14% more per square foot for an on campus medical office building (compared to an off campus medical office building) in the 3rd quarter of …

Read moreThe “On Campus” Medical Office Premium is 14% in 3Q14

The Buyer Composition has Changed

March 15, 2016 by Mike Hargrave

Recent years has seen the healthcare real estate transaction world more or less controlled by real estate investment trusts (REITS). Healthcare REITs have enjoyed a long run of comparatively low …

Read moreThe Buyer Composition has Changed

The Emerging Public-Private Valuation Gap

May 22, 2018 by Mike Hargrave

As the start of higher interest rates have entered into 2018 economic data, Medical Office REIT share prices have pulled back implying their portfolio values have also fallen. Healthcare Trust …

Read moreThe Emerging Public-Private Valuation Gap

The Hottest Metros in 2018

March 28, 2019 by Mike Hargrave

Overall transaction volume for Medical Office Buildings (MOB) were down in 2018 versus 2017. According to Revista’s Year End 2018 Medical Real Estate Transactions report, MOB transaction volume was $11.9B …

Read moreThe Hottest Metros in 2018

The Medical Office Sector and GDP Growth

July 28, 2022 by Stephen Lindsey

This morning the BEA released its first official estimate of real GDP growth for 2Q2022. It came in at -0.9. The revised official rate from last quarter was -1.6, and depending on the definition used, some would now say that we are in a recession.

Read moreThe Medical Office Sector and GDP Growth

The Most Active MOB Metros 3Q18-2Q19

August 28, 2019 by Mike Hargrave

Medical Office (MOB) transaction volume has slowed during the past year.  Within the top 50 metros Revista recorded $7.14B worth of MOB trades from 3Q18 to 2Q19.  This was down …

Read moreThe Most Active MOB Metros 3Q18-2Q19

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

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

The Surgery Center Premium for MOBs

December 19, 2017 by Mike Hargrave

Revista tracks and identifies medical buildings that contain a surgery center.  Within our database, surgery centers are a tag rather than a property type as many surgery centers are contained …

Read moreThe Surgery Center Premium for MOBs

Through April – Transaction Volume slowing but still outpacing 2019

May 28, 2020 by Mike Hargrave

A weekly running sum of medical office volume through April 2020 reveals that volume is slowing but that overall, total volume is still running ahead of 2019.  Through week 18 …

Read moreThrough April – Transaction Volume slowing but still outpacing 2019

Top Ten Metros for MOB Sales Activity

December 16, 2021 by Hilda Martin

Last quarter was a record for medical office transaction volume since Revista has been tracking data, coming in at a total of $5.2B in sales. On an annual basis, that …

Read moreTop Ten Metros for MOB Sales Activity

Top Ten MOB Buyers of 2020

March 24, 2021 by Hilda Martin

Despite all the difficulties of the pandemic in 2020, medical office transaction activity still kept pace with previous years. Total sales volume cleared $11.2B and these top buyers represented almost …

Read moreTop Ten MOB Buyers of 2020

UBS Acquires Saddleback Valley MOB from Lillibridge/Ventas

April 21, 2016 by Mike Hargrave

UBS Real Estate, along with Greelaw Partners of Irvine CA recently acquired the Saddleback Valley Medical Center (MOB) from Lillibridge/Ventas.  The purchase price was $34.5 million which works out to …

Read moreUBS Acquires Saddleback Valley MOB from Lillibridge/Ventas

Update on Health System Medical Outpatient Building Buybacks

March 27, 2026 by Mindy Berman

Health systems have been one of the most active participants in the medical properties investment sales market in the last 3 years, accounting for 17% of all sales activity as either the buyer or seller.  In 2025 alone . . .

Read moreUpdate on Health System Medical Outpatient Building Buybacks

Ventas – Ardent Deal – Premium Price for a Premier Portfolio? – Part 1

June 17, 2015 by Mike Hargrave

The recently announced Ventas (NYSE: VTR) acquisition of Ardent Health services caught many healthcare real estate investors by surprise. Questions have arisen such as what are they buying, is the …

Read moreVentas – Ardent Deal – Premium Price for a Premier Portfolio? – Part 1

Ventas – Ardent Deal – Premium Price for a Premier Portfolio? – Part 2

July 7, 2015 by Mike Hargrave

Part one of this post established comparative pricing for the Ventas/Ardent hospital real estate deal compared to Revista’s industry averages. We established that Ventas is paying a slight premium (compared …

Read moreVentas – Ardent Deal – Premium Price for a Premier Portfolio? – Part 2

Ventas Completes Merger of HCT, MOB cap rate at 6.2%!

January 19, 2015 by Mike Hargrave

Ventas recently completed its previously announced $2.6 Billion acquisition of American Realty Capital Healthcare Trust (HCT). HCT’s portfolio spans 147 total properties including medical office buildings (78), seniors housing (46), post-acute/SNF …

Read moreVentas Completes Merger of HCT, MOB cap rate at 6.2%!

What Was Revista’s Most Active Metro in 2017?

February 23, 2018 by Hilda Martin

Continuing focus on high medical office sales activity might lead one to wonder where all this activity is occurring. In 2017, more than 25% of sales volume was represented in only …

Read moreWhat Was Revista’s Most Active Metro in 2017?
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  • Where are MOB Cap Rates? September 30, 2026
    In the chart below we are comparing MOB cap rates to the 10-year treasury yield. So far in 2026 cap rates for medical office transactions have been quite stable. From the end of 2025, through the first half of 2026, the average was flat at . . . The post Where are MOB Cap Rates? […]
    Stephen Lindsey
  • 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

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