The St. Vincent Carmel Women’s Center in Indiana becomes part of a $2.7 billion portfolio obtained by Heitman from Duke Real estate last year.
Heitman’s recent purchase of 17 medical office complex amounting to 1.4 million square feet in seven states, one of the biggest MOB portfolio sales of current years, is just the latest example of increasing investor interest in an alternative asset class that some experts think ranks 2nd only to apartment or condos in its enduring attraction for large institutional investors.
The sale to Heitman last month of the Partners Health Trust (PHT) portfolio by Bentall Kennedy, a Sun Life Financial investment management business managing $37 billion of properties, is amongst a string of portfolio offers that improved MOB and outpatient care facility sales to over $10.7 billion in 2017, according to CoStar data. REITs, private-equity, pension funds as well as foreign buyers are selecting off deals from an ample pipeline of chances as owners are teased into selling by the possibility of superior prices, frequently at sub-5% capitalization rates.
Huge portfolio sales like the PHT portfolio and Duke Realty’s $2.7 billion disposition of its health care business to Healthcare Trust of America, Inc. (NYSE: HTA )suggest that more large multi-property chances are in the offing.”Healthcare property is emerging from the shadows of alternative sectors,” stated Jonathan Geanakos, president with JLL Capital Markets, which organized the sale of the PHT portfolio, including that interest in medical workplace is at an all-time high given the capital offered from core investors and continued interest from foreign financiers trying to find steady income from U.S. financial investment home at more-attractive yields than offered from core multifamily and workplace choices.
Large-scale MOB investment chances will continue as outpatient care broadens in the U.S., JLL officials compete. Health-care companies continue to attempt to reduce costs by moving more services into lower-cost outpatient settings. For the very first time in history, outpatient care makes up a bigger share of health-care income than in-hospital care, according to JLL, at a time when yearly healthcare spending is projected to grow by more than 5% annually, with the bulk anticipated to occur in ambulatory care facilities.
“Investors are circling this area and routinely calling for off-market opportunities to go into the marketplace or expand their portfolios,” said Marina Hammersmith, senior vice president of health care brokerage services for the Phoenix office of Ensemble Property Solutions. “The primary motorist toward this possession class is the understanding of insulation versus more comprehensive market conditions.”
“We need health delivery outlets and that requirement will only increase in the foreseeable future,” Hammersmith added. “Anticipate 2018 to be a robust year for this realty sector.”
Those trends might provide a perfect prescription for healthy MOB fundamentals. The national medical-office job rate fell to a record low of 7.3% in 2017, the 6th straight year of decline, even as tenants continued to seek out new, more-efficient area– and designers eager to offer it.
The MOB sector included over 16 million square feet of new space last year, despite rising labor and products costs that drove up mean per job expenses by around 20% for both medical offices and hospitals in 2017, inning accordance with Colliers International’s brand-new 2018 Health care Marketplace report.
With about 360 MOB projects under construction, conclusions are anticipated to increase 26.5% this year to 20.5 million square feet with a total construction worth estimated at $8.6 billion for 2018, up from $6.6 billion last year and 2016’s $8 billion.
Not surprisingly, the huge population states of California, Florida, New York, Pennsylvania and Texas dominate the MOB building pipeline with a combined overall of 63.8 million square feet in existing and scheduled projects, with those five states accounting for 37% of the total U.S. overall pipeline. Off-campus outpatient homes represent 72% of jobs opened in 2017 and 70% of those set to deliver in 2018, Colliers stated.
Outpatient health care real estate advancement jobs totaling more than 34 million square feet either began construction or were finished in 2017, a substantial total but still a 4.6% drop from the prior year, inning accordance with the 2nd yearly Outpatient Health care Real Estate Development Study from research study firm Revista and Minneapolis-based Health Care Real Estate Insights (HREI).
While outpatient building starts have drawn back from their highs in 2015, the speed of development appears to be getting and starts are anticipated to rebound in 2018, states Revista co-founder and Principal Mike Hargrave.
The top five outpatient designers by square video footage started or completed last year were MedCraft Health care Real Estate, Health Care Realty Trust, NexCore Group, HTA Advancement and Real Estate Trust Group, with Rendina Health Care Property and Ryan Business in the top 10, inning accordance with Revista.
Among the biggest health care REITs, Health care Trust of America, Inc. (NYSE: HTA), expects to focus more on advancement this year as it absorbs $2.7 billion in 2017 acquisitions, consisting of the enormous Duke Realty portfolio purchase. HTA has provided 3 MOBs considering that the third quarter of 2017 2 more properties worth a combined $38.8 million in investment are expected to come online in the 2nd quarter.
Analysts see MOB REITs largely staying on the sidelines this year, possibly opening the market to other investors.
“Given the spike in rates of interest and compressing cap rates leading to a constricting of spread to financial investment, we think the general public MOB REITs will be inclined to slow their acquisitions rate and use capital to de-lever incrementally,” Stifel & & Associates expert Chad Vancore stated. “We believe medical office buildings continue to have the most compelling principles amongst healthcare REIT asset classes as need for space is driven by growth in outpatient services and increased healthcare expenses.”