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5 Reasons to Invest in Medical Office Buildings

There is a growing interest in investing in medical office building (MOB) real estate – and for good reason. While the overall office real estate asset class has suffered significantly over the last several years, medical office real estate has been overlooked and appears undervalued. MOBs are now attracting more attention from experienced real estate asset managers. Medical office real estate has strong underlying fundamentals, an exceptional growth trend, high occupancy, long-term tenant leases and resilience in all economic environments. Given the current economy and real estate market conditions, investing in medical office buildings is highly attractive as it is a stable investment with solid upside potential and offers an opportunity to diversify an investment portfolio.

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The 5 reason are as follows:

1. Economic Resilience

The health care industry as a whole has shown remarkable resilience through economic cycles, including the recent pandemic. The need for health care and treatment of patients is not subject to downturns due to economic and market conditions. In fact, just the opposite. The health care industry is a growing sector. There has been a steady rise in the desire to receive health care in convenient outpatient settings to avoid the cost associated with traditional hospital care. Advancements in technology and clinical innovation, along with a change in patient preferences, have led to a growth in demand for outpatient health care services. The combination of convenient locations and significantly lower costs than a hospital has resulted in the increasing desire for medical office space.

2. High Occupancy Rate

Over the last decade, the trend in the management of health care has been to treat patients through medical offices rather than through traditional hospitals. This expansion has led to medical office buildings providing a range of specialized services such as imaging, labs, surgery facilities and urgent care facilities. Being part of a medical office building eco-system has become highly desirable to treat patients due to its single building setting outside the local hospital. Given the range of complimentary services and convenience, health care provider tenants rarely relocate leading to high occupancy rates. In addition to high occupancy, medical office building tenants agree to long-term leases, typically with a duration of 5 to 10 years. These medical tenants also tend to have strong financial credit. These long-term leases along with financially sound tenants provides MOB investors with a predictable rental income stream with payments that are timely and rarely fall into default.

3. High Retention Rates - Predictable Revenue Streams

Given that MOB tenants usually remain in the same location for extended periods of time, they accept lease terms with steady rent increases. Physicians typically choose long lease terms so that they can remain in one location in close proximity to their patients and hospital services. In addition, medical offices usually have unique buildouts resulting in a high cost of relocating and high retention rates. Another benefit of the MOB to a health care provider is that there are related medical services offered in the building such as surgery rooms, imaging, and labs. The combination of benefits from the medical office building results in the medical service tenants acquiescing to steady rent increases. For investors, these long leases and high retention rates are indicative of the sector’s stable and increasingly valuable predictable revenue stream.

4. Diverse Tenant Base

Another benefit of medical office building investments is its diverse tenant base. Medical office buildings can have a range of tenants, that may include: primary doctors, plastic surgeons, women’s health, dermatologists, oncologists, kidney dialysis centers, labs, and imaging services. These tenants have a steady income from co-pays and out-of-pocket payments, as well as insurance and governmental reimbursements.

5. Growth in Demand

Medical office buildings are experiencing the same sort of valuation drivers as multifamily real estate - steadily increasing values due to strong demand, rising rents and high occupancy. And the fundamental reason for the strong valuations is similar - population trends. In multifamily, there is enormous real estate demand resulting from family formation by 77 million Millennials. Similarly, the gray tsunami from 75 million Baby Boomers is upon us. Over 4 million more Americans are turning 65 years old this year. By 2030, all Baby Boomers will have turned 65 years old, with many over 80 years old. Baby Boomers will require an exponentially increasing amount of medical care year after year for the next 25 years. To meet the demand, health care service providers require medical office buildings to provide the services. The top three health care REITS have grown significantly to a combined market cap over $70 billion.

An increased demand for medical care and medical office buildings will continue as people seek more efficient, convenient, and accessible medical care. For real estate investors seeking a recession-resistant investment, growing demand, and increasing rents and values, medical office buildings are a sound investment.

While CityVest is admittedly a small company, our goal is to be the best at what we do. I appreciate the trust that you have put in me as the steward of your investment capital. I will continue to champion CityVest’s mission: to be a Better Way to Invest and Build Wealth. If you have any questions do not hesitate to contact me directly at 917-747-3091 or schedule a direct call through my calendar link.

As always, thank you for the opportunity to provide unique and successful investment services to you.


Alan Donenfeld
Founder and CEO
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