89,159 SF | $152,020,000
1 Hospital Plaza (Raritan Bay Medical Center)
Old Bridge, NJ
Buyer: Physicians Realty Trust
Seller: Landmark Healthcare
15,940 SF | $6,800,000
225 May Street, Edison, NJ
Buyer: 225 May Street TPI, LLC
Seller: 225 May Street Associates
10,000 SF | 550 Kinderkamack Rd, Oradell, NJ
7,112 SF | 500 N Franklin Tpk, Ramsey, NJ*
5,794 SF | 1 W Ridgewood Ave, Paramus, NJ
5,490 SF | 65 Harristown Rd, Glen Rock, NJ*
*NAI Hanson Transactions
By Darren Lizzack, MSRE and Randy Horning, MSRE
State of the Union: Healthcare
Always considered a resilient sector, experts nonetheless worried about the healthcare real estate market when COVID-19 arrived in 2020. While its growth slowed initially, it didn’t take long for healthcare real estate not only to regain but begin to increase its momentum.
According to panelists at the Globe St. Healthcare Real Estate national conference, “savvy investors could profit nicely if they navigate [the market] correctly.” Medical offices, for example, offer an opportunity for investment. These spaces recovered more quickly from the pandemic and have less uncertainty, as shown by past precedent.
For example, during the financial crisis that began in 2008 and lasted for four years, the medical office building (MOB) sector still did well. Experts agree that while office space will continue to face challenges, MOBs remain a strong option for investment, showing more clarity in long-term demand.
Healthcare RE tends to remain stable even throughout the real estate market’s peaks and valleys. It is, however, a complex industry, requiring detailed demographic analyses. Investors must understand many more dynamics including which practices are most likely to thrive in certain locations.
The industry has changed considerably. No longer are single person or “mom and pop” practices common. Instead, the smaller practices originally inhabiting medical offices have been replaced by large-scale systems, hospitals, and even private equity groups that have acquired specialty practices.
New Developments and Leasing
Healthcare facilities like ambulatory and outpatient care services are sprouting up within urban communities throughout the country. Larger networks have opted to build or open treatment centers that are better equipped than smaller clinics to offer a wider depth and breadth of services, but at a fraction of the cost than traditional hospitals.
It’s also more cost-effective to consolidate healthcare services under one roof. This “one stop shopping” approach to healthcare delivery benefits both the providers and their patients. It’s also a product of the complexities and reality associated with providers’ “risk-based reimbursement.”
The pandemic did result in some delayed lease payments, but the stimulus package helped tenants meet their obligations. Yet even during the worst of the pandemic, fewer healthcare organizations struggled to meet their rent obligations.
According to one firm, of its 450 non-REIT tenants, 93 requested rent-relief requests in April 2020 (fewer than 25%). The firm also worked out rent-deferment agreements on a case-by-case basis and directed its tenants to SBA loan options, when appropriate. Fifty-three percent of 195 REIT tenants requested rent relief—granted to 10 at a 5% interest rate, which the firm anticipated recovering within the year.
The Centers for Medicare and Medicaid Services says national health expenditures averaged $11,582 per person in 2019, totaling $3.8 trillion. The organization anticipates a 5.4% annual growth rate to $6.2 trillion through 2028—or nearly 20% GDP.
An individual real estate investor can purchase a medical facility and serve as the landlord to the building’s tenants. Another investment option, however, is healthcare real estate investment trusts (REITs).
Healthcare real estate is a low-risk investment with the potential for large rewards. Many experts predict the future growth of healthcare REITs will be strong. The nation’s population of older citizens (65+) will double by 2050; the 85+ demographic should double by 2040. Older Americans rely on healthcare services much more than younger people. The National Health Expenditure data shows an average person spending $7,100 annually on healthcare. But those in the 65-84 age group spend an average of $15,900 and those 85+ spend an average of $34,800. An aging population will likely create rising demand for healthcare—and thus the need for healthcare properties will increase to meet that demand.
Healthcare REITs are attractive options for long-term growth because they include properties like assisted living, hospitals, and surgery centers. People exploring REITs should choose a healthcare REIT that’s flexible and dynamic— one able to take advantage of new investment opportunities as they arise. Whether you’re considering an all-in-one, an REIT with a strong dividend record, or considering a higher yield, higher risk REIT, makes sure you look at:
- The type of properties in which the REIT invests
- The services provided within the real estate
- The strength of the operators
To explore options and access everything you need to know about investing in healthcare real estate, talk to the professionals in CREA United’s Medical & Healthcare Real Estate Group. This group comprises top-level leaders with a deep understanding of the healthcare market.
|2 Dean Dr., Ste 3N||Tenafly||2,470||Sale|
|500 N. Franklin Tpk., Ste 318||Ramsey||7,112|| Lease|
|65 Harristown Rd.||Glen Rock||5,490|| Lease|
|23-00 Route 208||Fair Lawn||3,741||Lease|
|208 Harristown Rd.||Glen Rock||3,221||Lease|
|526 E. Broad St.||Westfield||2,800||Sale|
|1777 Hamburg Tpk.||Wayne||2,608|| Lease |
|17-15 Maple Ave.||Fair Lawn||2,500||Lease|
|59-61 W. Pleasant Ave.||Maywood||2,437||Lease |
|605 Broad Ave., Ste 201||Ridgefield||2,393|| Lease|
|1124 E. Ridgewood Ave.||Ridgewood||1,230||Sale|
|400 Franklin Tpk.||Mahwah||1,212||Sale|
Teterboro, NJ | 201 488 5800
Parsippany, NJ | 973 463 1011