Articles and Webinars

As health systems expand in both size and geographical reach, their real estate requirements become increasingly complex. Yet, the majority of all U.S. hospitals are not part of the top 15 health systems and might lack the in-house expertise or market knowledge to effectively navigate the complex landscape of hospital-related facility development. Health care... READ MORE

Highlights from Hall Render’s Health Care Real Estate Executive Summit in early November are captured below. Providers big and small from across the country covered a multitude of challenges and opportunities at the event. Here’s a snapshot: Cost of Capital: A-rated hospital borrowing rates are currently hovering around their 30-year historical average, reminding us... READ MORE

The Charitable Foundation Lease Solution – A Solution to Challenging Economic Conditions! 1. Fitch Ratings 2022 Mid-Year Outlook: US Not-for-Profit Hospitals and Health Systems – “Deteriorating” 2. Hospitals Experiencing Some of the Worst Margins Since Beginning of Pandemic 3. How Public Real Estate Investment Trusts Extract Wealth from Nursing Homes and Hospitals We understand these are challenging... READ MORE

Hall Render Advisory Services is excited to share with you information about a dynamic new approach to third-party real estate ownership and occupancy within the non-profit health care sector. Opportunity: Significant Savings, Maximum Control, Mission Alignment and Value Capture The goal of a charitable foundation landlord is to help non-profit or public health systems... READ MORE

Volatile forces impact renovation and new construction projects, so effective strategies focus on mitigating economic pressures. Rising material and labor costs have had a major impact on the healthcare industry. Construction costs have doubled in some cases, driving a shift away from new projects and toward the renovation of existing facilities. Does redevelopment offer... READ MORE

As the world slowly adjusts to normalcy following the COVID-19 pandemic, the future looks bright for development and investment opportunities in the health care real estate industry. Growth in outpatient facility developments, free-standing emergency departments, and the continued need for dedicated behavioral health facilities, and novel development financing options are just a few areas... READ MORE

Now more than ever hospitals, health care operators and managers, physician groups, diagnostic operators and specialty care operators are activating M&A and JV-related discussions. In nearly every instance of this discussion, real estate is a big consideration. So long as a physical location is needed for providers and equipment to render patient care, real... READ MORE

With the office and retail real estate sectors in shambles, many real estate analysts and health care capital market experts ponder the resiliency of the health care real estate sector. Given the continued demand for health care services even during the pandemic, these pundits tout that investing in health care real estate is a... READ MORE

Unlocking real estate value and protecting one’s balance sheet are objectives hospitals and health systems have pursued for decades. The Non-Profit Real Estate Foundation (“NPF”) ownership structure is a compelling solution to unlock real estate value, significantly lower occupancy costs, provide many of the benefits of ownership, create alignment with a nonprofit owner and... READ MORE

CMS issued explanatory guidance in reference to blanket waivers of the sanctions under 1877(g) of the Social Security Act. The guidance answered lingering questions about rental compensation arrangements that would allow for repayment to occur beyond the end of the term of the emergency waivers, such as emergency rent abatement arrangements. The explanatory guidance... READ MORE