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  • Remedy Medical Properties and Kayne Anderson Real Estate announced the acquisition of a portfolio of outpatient medical assets from Welltower for $7.2B, totaling approximately 18M sf across 296 properties in 34 states. The transaction is the largest MOB deal to date and makes Kayne/Remedy the largest MOB owner in the country.
  • In its latest National Hospital Flash Report, Kaufman Hall data highlighted continued strain on hospital finances. According to the report, median monthly operating margins fell to just 0.1%,

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  • According to a recent report, ASC volumes are expected to expand by 9% between 2023 and 2028, driven by site-neutral reimbursement, advancements in outpatient surgical techniques and cost savings to patients and payers. ASCs generated $45B in 2024 revenues, a figure projected to climb to $57B by 2030.
  • Medical City Health Care is expanding rapidly in Collin County, Texas, to keep up with the region’s growing population and health care needs. Projects include a $142M vertical expansion at

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    Continue Reading Weekly Hospital Real Estate Briefing: ASC Volumes Continue to Expand | 30% of Telemed Visits Paused During Shutdown | Intermountain Expands Outpatient Imaging Chain in WA

  • UnitedHealth Group Inc. has completed its $3.3B acquisition of Amedisys, a company that operates over 500 home health and hospice sites throughout the country.
  • During a recent U.S. House of Representatives subcommittee hearing, legislators criticized tax-exempt hospitals for failing to provide adequate charity care and community benefits in excess of the estimated $37.4B in tax benefits they received in 2021.
  • Community Hospital Corporation (TX) announced plans to build a $400M state-of-the-art acute care hospital within the Heritage Ranch Master

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    Continue Reading Weekly Hospital Real Estate Briefing – Sept. 29

    This week, we’re taking a break from our usual briefing format to spotlight 10 key trends currently influencing the hospital real estate market. From pediatric hospital expansions to adaptive reuse projects, these developments are shaping strategies nationwide. If there’s a trend you’re seeing that’s not on our list, we’d love to hear from you. And as always, if our team can support your organization’s real estate needs, don’t hesitate to reach out.

  • Children’s Hospitals – As we reported earlier

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  • The county approved a proposed purchase by University Health (San Antonio, TX) of the former Christus Santa Rosa Hospital campus for $71M. The 45-acre site also includes two MOBs, a parking structure and a solar farm. The buyer plans to spend $20M to renovate the hospital.
  • CMS Administrator Oz said applications for the agency’s $50B rural hospital fund will be available in early September as part of the recently passed One Big Beautiful Bill legislation. The fund is intended

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  • UPMC and GoHealth have announced the opening of 81 urgent care centers, including 33 in the Pittsburgh area. The primary purpose of these centers is to enable patients to receive care for non-life-threatening conditions, but they can serve as an initial access point for those with more serious conditions.
  • Novant Health is planning to more than double the system’s ambulatory surgery center portfolio, targeting up to 50 ASCs within the next three to five years. The expansion is part

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  • A recent article highlighted the resilience of health care mergers and acquisitions in 2025. While volumes are lower than in 2024, transaction volume is nearly double pre-pandemic levels. Behavioral health and home health/hospice remain the top targets for deals.
  • UCHealth University of Colorado Hospital and the CU Anschutz Medical Campus have developed a prototype alternative care facility at a hotel in Aurora, CO, to address hospital bed shortages during national emergencies. Funded by the Department of Defense, the project

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    Most projects get completed and finally paid without having to resort to outside parties to resolve a dispute. Attorneys maximize the chance of success by teaching clients from our experiences – particularly clients who don’t have a lot of in-house knowledge about the most frequent causes of disputes.

    James M. Dash headshot
    James M. Dash, Houston 1985, is a founding equity member with Carlson Dash LLC in Milwaukee, where he concentrates his practice on the law of business in construction and design.

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    Continue Reading Avoid Project Disputes Before They Begin: The Lawyer’s Role in Guiding Client Expectations

  • New inflation data shows that the consumer price index (CPI) rose by 0.3% in June, bringing the annual inflation rate to 2.7%. Inflation has been slowly rising due to tariff concerns. Apparel and home furnishing prices have increased, while vehicle prices are down.
  • Florida passed legislation phasing out the state’s sales tax on commercial leasing transactions. The move has been widely viewed as a win for landlords and tenants doing business in Florida. The tax will be eliminated on

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    Continue Reading Weekly Hospital Real Estate Briefing: Inflation at 2.7% Year-to-Date | Florida Eliminates Sales Tax on Commercial Leases | JLL Releases Construction Report

    Real estate developers face a complex, evolving landscape for wetland permitting in Florida in light of the loss of the state’s permitting authority, combined with recent federal executive actions and changes to Section 404 of the Clean Water Act (the “CWA”). These state and federal developments create challenges for developers seeking to build hospitals, schools or housing in or near wetlands in Florida.
    Context and Legal Background
    Section 404 of the CWA regulates the discharge of dredged or fill…
    Continue Reading Developers Beware: How the Evolving Battle Over Wetland Permitting Is Impacting Florida Real Estate Projects

  • Hospitalogy recently compiled statistics tracking the top health systems along several metrics, as of January 1, 2025, including total revenue (Kaiser Permanente), patient service revenue (HCA Healthcare) and patient revenue growth (BJC Health System).
  • Health system margins dipped below 1% for the first time in 15 months, according to a recent report. The report attributed this drop to a 5.6% year-over-year increase in labor costs and a 9.1% increase in total non-labor expenses.
  • Hall Render recently published an article

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    For developers, adeptly navigating the intricate web of zoning laws and regulations is paramount to ensuring that projects not only comply with local ordinances but also align with community standards.

    Understanding Zoning Regulations

    Zoning laws are essential for urban planning, dictating how land can be used. They help maintain order and prevent conflicts between different land uses, like residential and industrial areas.  Developers must possess a thorough understanding of these laws to avoid legal disputes and project delays. Interpreting…
    Continue Reading Zoning and Legal Compliance: Key to Successful Downtown Development

    We are taking a break from our regular briefing this week to focus on a list of trends we are seeing in the market. Take a look at our list—if we didn’t cover a trend you are seeing in the market, send us a note. We always enjoy hearing from our readers. As always, if we can be of service to your organization, please do not hesitate to reach out.

  • Alternative Financing Solutions – Hospital systems are increasingly focused

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    Continue Reading Weekly Hospital Real Estate Briefing: Top 10 Real Estate Market Trends We’re Tracking

    Federal projects can be complicated – prime contractors must deal with often exacting government performance standards and obscure federal legal requirements.

    Subcontracting on a federal project adds an increased level of complexity, as the subcontractor must not only meet the prime’s contractual requirements but also comply with many of these same federal clauses, which are duplicated or “flowed down” from the prime contract to the subcontract.

    Samuel W. Jack headshot

    Samuel W. Jack, George Washington University 2008, is of counsel with Dempsey

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    Continue Reading Navigating Flow-Down Clauses in Federal Projects

    This blog post is authored by Atty. Gary D. Koch of Pettit Law Group S.C.The Consumer Financial Protection Bureau (CFPB) was created in 2011 primarily in response to the 2008 financial crisis and recession. It has been tasked with protecting consumers from unfair financial practices from banks, lenders, other financial companies, and, yes, even landlords. The CFPB was one of the agencies charged with enforcing the CARES Act, and has been active in regulating tenant screening processes.Earlier this February,…
    Continue Reading How Are Landlords Affected Now That The Consumer Financial Protection Bureau Has Been Told to “stand down from performing any work task” by the President?

    On August 7, in Frazier v. Equifax Information Services, LLC, the United States Court of Appeals for the Seventh Circuit affirmed a lower court’s decision to grant summary judgment to defendant Equifax, a consumer credit reporting agency (CRA), in a case brought under the Fair Credit Reporting Act (FCRA).
    Continue Reading Will Credit Bureaus Continue to Escape Justice? Part 1: Why Consumers
    Suffer