New Jersey Healthcare 3Q 2024 Report

 
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Bergen County


482

Medical Buildings


9,314,024 SF

RBA


$25.68 PSF

Base Rent

Essex County


327

Medical Buildings


5,610,576 SF

RBA


$24.15 PSF

Base Rent

Hudson County


191

Medical Buildings


2,351,236 SF

RBA


$24.74 PSF

Base Rent

Middlesex County


497

Medical Buildings


8,090,269 SF

RBA


$22.80 PSF

Base Rent

   

Northern NJ


3,357

Medical Buildings


59,941,778 SF

RBA


$22.34 PSF

Base Rent

     

TOP SALES & LEASES

SALES


34,599 SF | $13,500,000

315 E Northfield Road, Livingston, NJ

Buyer:  Richard Basch

Seller:  EMMR LTD Partnership



31,680 SF | $9,025,820

574 Springfield Avenue, Westfield, NJ

Buyer: TopMed Realty

Seller: Westfield Medical Props LLC

LEASES


14,021 SF

650 From Road

Paramus, NJ


5,967 SF

2 Saddle Road

Cedar Knolls, NJ


5,739 SF

310 Madison Avenue

Morristown, NJ

     
   
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Healthcare Office Space

   

Many factors are shaping the state’s healthcare system, especially since the global pandemic. While the Biden administration officially ended the COVID-19-related national and public health emergencies in 2023, New Jersey’s healthcare systems haven’t returned to a pre-2020 status quo. Here’s why: 

Patients are more ill. 
A 2023 analysis by the Center for Health Analytics, Research, and Transformation (CHART) at the NJ Hospital Association found a 21% increase in β€œmajor” or β€œextreme” levels of illnessβ€”more than 40% todayβ€”than in 2019.

The population is aging.
According to the U.S. Census Bureau, between 2010 and 2022, the 65+ age group increased by over 35%. The state’s Department of Labor predicts this demographic will grow by nearly 69% between 2012 and 2032.

NJ Hospital Association President and CEO Cathy Bennett said, β€œAs the Baby Boomers age, the profile of today’s hospital patient is sicker and older. New Jersey is home to nationally recognized hospitals, but our care teams are challenged like never before, caring for patients whose needs are incredibly complex.”

The workforce remains strained.
Among those populations affected by aging? The workforceβ€”including nurses, a profession with a high proportion of employees in the 56- 65 age group, according to the New Jersey Collaborating Center for Nursing (NJCCN).

Demand for mental health services is soaring.
The World Health Organization (WHO) said the prevalence of anxiety and depression worldwide escalated by 25% in 2020β€”and hasn’t decreased. Trilliant Health found the 2022 U.S. behavioral health volumes were 18% higher than pre-pandemic. The market research and analytics firm’s report also discovered a 107% increase in eating disorder diagnoses and a 44% increase in depressive disorders among people under 18.

Growth areas for investors in the state include practices supporting an aging population and those needing mental health treatment, including applied behavior analysis (ABA) therapy practices and other behavioral services.

By the Numbers
According to a 2024 report from the NJ Department of Labor & Workforce Development (DOL):

  • Hospitals account for 38% of healthcare employment. 
  • Nursing and residential care facilities account for 17% of healthcare employment.
  • Ambulatory healthcare services account for 51% of healthcare employment. The 

Fed’s 50 basis point rate cut in September is welcome news, but healthcare real estate investors generally remain tempered in their enthusiasm. That said, aging baby boomers and increased demand suggests that medical office buildings (MOBs) will remain popular investments, especially with the U.S. pharmaceuticals market expected to reach over $24 billion by 2024 and more than $37 billion in five years. Likewise, McKinsey & Company predicts the profit pools for healthcare services, physician offices, and technology to grow at 7% CAGR from $583 billion in 2022 to $819 billion in 2027.

According to several reports, nationally, MOB investment increased 60% QoQ in Q2 to $2.5 billion, with sale prices averaging $291 per square footβ€”a $3 increase from Q1 and 49% higher than the average traditional office building price.

The average MOB cap rate fell to 6.9% (10 bps QoQ), the first quarterly decline since Q2 2022. In Q2, net absorption of 2.2 million square feet increased the trailing-four-quarter total to 4.8 million square feet.

Here are the Q3 statistics for New Jersey: 
  • YTD statistics
  • 12 transactions
  • 3 sales and 9 leases
  • Average rent: $28.54 PSF
  • Average lease term: 6 years
  • Amount of square footage leased or sold: 44,588 SF

Bergen County
  • 482 medical buildings
  • 9,314,024 SF RBA
  • $25.68 PSF base rent

Essex County

  • 327 medical buildings
  • 5,610,576 SF RBA
  • $24.15 PSF base rent

Middlesex County

  • 497 medical buildings
  • 8,090,269 SF RBA
  • $22.80 PSF base rent

Hudson County

  • 191 medical buildings
  • 2,351,236 SF RBA
  • $24.74 PSF base rent
Northern NJ
  • 3,357 medical buildings
  • 59,941,778 SF
  • $22.34 PSF base rent
  • The next opportunity in healthcare real estate

The 2024 NJ state budget included a plan to invest $100 million in community- and home-based mental healthcare services, opening opportunities for those interested in healthcare-specific investing.

Also, the shift toward outpatient care has benefited medical office buildings (MOBs). As hospitals face increasing pressure to reduce costs and improve efficiency, they’re outsourcing many procedures to outpatient settings.

Before the 50 BPR cut, high interest rates influenced CRE prices, including a decline in MOB costs, presenting a unique opportunity for investors. Experts believe that the long-term fundamentals for this sector remain strong, between increasing demand for outpatient care and a limited supply of new MOBs driving future growth.

Healthcare real estate investment trusts (REITs) generate revenue via rents collected from healthcare tenants leasing space in medical office buildings, senior living facilities, even hospitals, and other healthcare-related real estate properties. Investing in a healthcare REIT reduces risk while facilitating a reliable cash flow and higher ROI as demand for healthcare services grows.

As the premier healthcare advisory team in New Jersey, Team Lizzack-Horning is here to guide you through every step of your real estate journey. Whether you’re expanding, relocating, or investing, our expertise can make a difference. Contact us to schedule a free consultation today, and let us help you achieve your goals.
     
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Darren M. Lizzack, MSRE

(201) 906-4376

dlizzack@naihanson.com

   
     
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