Weekly Hospital Actual Property Briefing: OIG Points Advisory Opinion on Lease Preparations | Well being Care Building Prices Stage Out

1. Current Revista information indicated that, over the previous decade, the West Coast and Southeast have proven constantly excessive well being care GDP progress, whereas the Midwest and Northeast (besides NY) have proven constantly decrease progress. A second put up particular to MOB rents confirmed that sure metros in FL, IN, AL, TN and NC have considerably outperformed the remainder of the medical workplace sector.
2. In a latest advisory opinion, the HHS OIG authorized an association through which a doctor tenant would sublease numerous suites to suppliers of listening to care objects and companies, some on a full-time foundation and a few on a timeshare foundation, with some for area solely and others together with gear. The doctor and the subtenants are referral sources of each other. However the various nature of the subtenants, the combination of full-time and timeshare occupancy of the area, and the varied charges being paid based mostly on use and occupancy, HHS OIG mentioned the preparations could be compliant as a result of they in any other case met the situations for the area rental and gear rental secure harbors.
3. The NC Senate Well being Care Committee superior a invoice to restrict facility charges charged by hospitals for outpatient Medicaid companies positioned away from the primary campus. The proposal additionally consists of measures to extend transparency by permitting managed care corporations to request itemized payments for high-cost inpatient expenses.
4. Governor Invoice Lee signed laws that eliminates certificates of want (CON) necessities for brand new acute care hospitals, satellite tv for pc emergency departments and cardiac companies in TN.
5. A latest report benchmarked 2026 well being facility development information, highlighting a stabilization in prices following years of volatility. The nationwide common for normal acute-care hospitals ranged from $430-$470/sf, whereas outpatient surgical procedure facilities ranged from $450-$650/sf, with initiatives within the Southeast on the decrease finish and initiatives within the Northeast on the larger finish.
6. UPMC reached a definitive settlement with CommonSpirit Well being to accumulate the Ohio-based Trinity Well being System, a deal anticipated to shut in fall 2026. The acquisition will develop UPMC’s footprint into the Ohio Valley, including 4 hospitals and a micro-hospital.
7. UNC Well being introduced plans to construct a brand new neighborhood hospital on a 62-acre website in Wilmington, NC, with a projected opening date of 2030. The power should first endure a state approval course of and handle native issues concerning site visitors and infrastructure.
8. AdventHealth bought 44 acres of land adjoining to its Parker, CO, campus for $16.5M to accommodate future progress. This acquisition follows a $300M enlargement venture already underway on the hospital, which features a new mattress tower.
9. A JV between a developer and a senior residing operator plans to develop a 700-acre mixed-use venture in Central Florida that includes 3M sf of retail and wellness area. The event will probably be anchored by a brand new AdventHealth hospital and is anticipated to start development in 2027.
10. The partnership between Hackensack Meridian Well being and Amazon One Medical expanded its footprint in New Jersey with the opening of a 3rd main care workplace in Englewood. The power presents residents same-day appointments and 24/7 digital care entry, with a fourth location in Hoboken deliberate for later this 12 months.

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