• Skip to main content
  • Skip to header right navigation
  • Skip to site footer
  • Blog
  • Free Resources
RevistaMed

RevistaMed

  • About
    • Meet Revista
    • Advisory Board
    • Partners
    • Press
    • Rising Leaders Council
    • Sponsorship
    • Contact Us
  • Events
    • 2026 Revista Medical Real Estate Investment Forum
    • Subscriber Webinar
  • Why Subscribe?
    • Schedule a Demo
    • Revista x Pivotal
    • Featured Products
    • Business Development
    • Underwriting & Due Diligence
    • Asset Management
    • Capital Markets
    • Site Selection & Development
    • Leasing
  • Subscriber Login
Home / Mergers/Acquisitions / More Investors Shift Focus to Smaller Markets

More Investors Shift Focus to Smaller Markets

February 23, 2022 by Hilda Martin Topics: Mergers/Acquisitions, Real Estate Financing/Capital Markets

With competition remaining at all-time highs for quality medical office assets, investors are increasingly looking toward smaller, growth markets for opportunities. In 2015, 44% of medical office transaction volume was found in the largest ten metros in the country – this is NYC & Los Angeles down through Boston in terms of population. In 2021 that figure has fallen to 30%. Both secondary and tertiary markets have seen a marked increase in activity. Secondary markets range in size from Phoenix down to Buffalo, NY (ranked 11-50 by population for the purposes of this discussion). These markets represented 27% of buying activity in 2015 and have climbed to 41% in 2021. In 2021 some of these markets had significant gains in volume – markets like Richmond, Charlotte & Columbus saw over 100% increases in activity from 2020 to 2021. To find out more about this trend and others – come join us in San Diego next week for the 2022 MREIF!

Hilda Martin
Hilda Martin

Other Articles by Hilda Martin:

    • Hospital Performance Impacts Outpatient Occupancy & Rent
    • MOB On Campus or Community Based? Opinions Differ by Owner Type.
    • New Reports Available – Pivotal x Revista

Previous Post:Physician Office Employment Now Fully Recovered
Next Post:Chicago MOB Market Building into Growth

Sidebar

Topics

  • Construction/Development
  • Industry News
  • Leasing/Property Management
  • Mergers/Acquisitions
  • Policy/Legislation
  • Real Estate Financing/Capital Markets
  • Revista Best Practices
  • Revista News
  • Sponsor Spotlight
  • Transactions
  • Uncategorized

Archives

RSS Recent Blog Posts

  • Fundamentals in Fast Growing Core Markets September 26, 2025
    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 . . . The post […]
    Stephen Lindsey
  • Is MOB Construction Beginning to Rise? September 25, 2025
    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.  The post Is MOB Construction Beginning to Rise? appeared first on RevistaMed.
    Mike Hargrave
  • Outpatient & Inpatient Employment Growth August 29, 2025
    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 . . . The post Outpatient & Inpatient Employment Growth appeared […]
    Stephen Lindsey
  • 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

Other Free Resources

Industry Directory

Search for and/or list your medical real estate services in Revista’s medical real estate directory.

Reports & White Papers

Download free reports & white papers on medical real estate.

Add Lease/Sale Listing

Revista provides free lease/sale listings for healthcare real estate.

Ready to Schedule a Demo?

Get in Touch Now
  • Why Subscribe?
  • Events
  • The MOB Scene
  • Add A Directory Listing
  • Add Lease/Sale Listing
  • Contact Us
  • Sponsorship
  • About
  • Data Terms of Use
  • Sponsorship Terms
  • Press

SIGN UP FOR MOB SCENE NEWSLETTER

  • Twitter
  • Facebook
  • LinkedIn