The Value of Specialized Healthcare Real Estate Expertise
By Erik Hill, MAI, CRE, CCIM, MRICS, Managing Director
Healthcare real estate assets are as unique as the patients they serve. They can be, and most often are, highly specialized buildings designed to support optimal patient outcomes.
Whether it is a hospital, medical outpatient building, surgery center, or rehabilitation facility, these complex buildings are best served by real estate professionals who specialize in healthcare real estate.
Brokers: When it comes to the sales and leasing of a healthcare asset, having a real estate broker that understands a good medical tenant mix, knows what tenants/users are looking for in a building, and the potential patient origins for the property can greatly improve the chances for success for the asset. Healthcare brokers often have relationships with other healthcare professionals in the local market and across the country. This network of healthcare-focused professionals enhances the broker’s ability to identify and connect with the right buyer, seller, or tenant for your healthcare asset.
Property Managers: Operating and managing a healthcare property can be highly complex. For many healthcare assets, there can be extra layers that a property manager needs to be able to navigate to ensure the smooth operation of the building. Some of these healthcare-specific considerations include regulatory and compliance requirements such as OSHA, HIPAA, and the Joint Commission.
Additionally, the asset is likely to have specialized components depending on the type of tenants within the building. These can include medical gas, imaging equipment with shielding, back-up generators, oversized elevators, specialized HVAC, etc. Medical practices often have long or unconventional hours which require property managers to provide responsive, 24/7 maintenance availability. If repair work needs to take place within the building, great care must be taken not to disturb the tenants or their patients, which often requires the work to be done after hours or overnight.
Developers: Bringing a new healthcare asset out of the ground or renovating an existing structure can be very challenging. Using a developer that is well versed in the type of healthcare asset you’re constructing can be the difference between staying on budget and diving deep into the red. Healthcare developers can be local, regional, or national and many have developed a specialization in certain healthcare property types. Healthcare developers often utilize specific sub-contractors that have deep healthcare experience that can help identify issues and resolve them in a timely manner to keep a project on track.
Due Diligence Professionals: Healthcare properties can be unique in their construction and may contain highly specialized systems for the operation of the facility. When a property condition assessment is required as part of a transaction or when needed for capital budget planning, utilizing a due diligence professional who is familiar with healthcare assets and their unique construction can save time and money. Those who are well versed in the healthcare space can more accurately estimate the cost and timing associated with the complex components of healthcare assets. These items may include in-wall medical gas, specialized HVAC, water treatment/testing, shielding, refrigeration systems, vacuum suction equipment, etc.
Appraisers: As healthcare assets are a specialized subset of the commercial real estate industry, there are lenders, brokers, investors, and developers who are dedicated only to this property type. Additionally, there are valuation professionals that are dedicated to this space as well.
Understanding how these properties are marketed, constructed, transacted, and financed is critical to understanding the value of these unique properties. For example, a medical office building should not be compared to a general office building, and an in-patient behavioral facility should not be compared to a seniors housing facility. There are nuances to each healthcare asset type and using a healthcare valuation professional will help ensure the asset is accurately analyzed based on the market metrics for that specific asset type.
For information on our specialty healthcare appraisal team, our healthcare due diligence team, or recommendations for other healthcare specialists, please contact Erik Hill at Partner Valuation Advisors.
Erik Hill, MAI, CRE, CCIM, MRICS
Managing Director - National Healthcare and Life Science Lead
Partner Valuation Advisors
[email protected]
214-234-9566