Publication Archives


Healthcare’s move to ambulatory facilities provides patients with proximity, immediacy to treatment

HSA PrimeCare President John Wilson explains how healthcare systems are working to improve the patient experience at new facilities as they continue to increase their ambulatory footprint.

“Outpatient facilities are fighting off any ideas of healthcare from yesteryear. Advancements in medical technology have allowed for technology-driven operations. And as the Affordable Care Act continues to drive consolidation amidst healthcare providers and insurance deductibles hit new levels, hospitals are constantly looking for opportunities to cut costs and improve efficiency,” Wilson said.


Medical Redux: Focuses on the Office Visit

HSA PrimeCare senior vice president of acquisitions and development, Jon Boley, outlines the complexities of acquiring and renovating obsolete medical office buildings. Boley discusses the challenge of smaller floorplates, originally built to accommodate medical practices with one or two physicians and the changes in the strategic needs of today’s physician offices.

“Consolidation of physicians over the past several years has increased demand for space suitable for the larger multi-specialty practices common today,” said Boley. “Owners and developers are constructing new buildings with larger floorplates, and on-campus medical space is being heavily renovated to fit the needs of today’s healthcare providers…”


Big changes bring big activity to healthcare market

When Bob Titzer looks at the healthcare real estate market in Chicago and across the Midwest, he sees plenty of activity. Hospitals are building new medical office buildings in urban areas and suburbs. Developers are expanding existing hospitals. And medical groups are opening ever more free-standing clinics and emergency rooms.

But what is behind all this activity? Titzer, executive vice president of HSA PrimeCare, points to one factor: change.

Jon E. Boley, SVP

Q&A with Jon Boley, Senior VP of Acquisitions & Development for HSA Commercial

As demand for healthcare services increases–expenditures topped $3 trillion in 2014 and are expected to nearly double to $5.5 trillion in 2024–so, too, has demand for healthcare real estate, with total sales volume hitting peak levels in 2015.

CPE spoke with Jon Boley, senior vice president of acquisitions and development for HSA Commercial Real Estate and HSA PrimeCare, about the key factors the firm evaluates before making a healthcare real estate investment. Boley also explains how the changes brought about by the Affordable Care Act are influencing the real estate decisions of health systems across the country…


With medical buildings, construction shifts to specialty projects away from hospitals

The Metro area has attracted a new specialist developer: HSA PrimeCare.

The action in health care real estate is continuing to shift from hospital campuses to off-campus settings and from traditional multitenant medical office buildings to outpatient clinics operated by single health care providers.

The Twin Cities, due to its favorable income and employment demographics, is emerging as one of the top markets in the Midwest for developers seeking to tap these trends…

The Commercial Voice Fall 2014.indd

It’s the Patient, Stupid!

The famous slogan from the 1992 presidential campaign, “It’s the Economy, Stupid,” was intended to keep the campaign focused on what they believed was the main issue of the campaign. If the healthcare real estate industry were to adopt a similar slogan, it would be, “It’s the Patient, Stupid!” Although a seemingly obvious focus, healthcare real estate has not always followed that charge. Oftentimes the focus was on the hospital system, the physicians, or the return on the development investment; however today, everything begins and ends with the patient. From street signage to the number of HVAC zones, in an increasingly competitive healthcare market, the successful providers of healthcare real estate understand how the bricks-and-mortar affect the…

Real Estate Forum - January 2014

Change in the Sector: It’s Not All Obamacare

As Ryan Seacrest signed off from Times Square, where the ball drop signaled the start of 2014, the bulk of the provisions contained in the Affordable Care Act began taking effect. Ranging from insurance exchanges to expanded Medicaid access, the ACA—better known as Obamacare—unquestionably will be among the drivers of growth in healthcare real estate in the coming years.

“In the long run, the Affordable Care Act is certainly changing the way that healthcare is delivered,” Scott Peters, chairman, CEO and president of Healthcare Trust of America, tells Real Estate Forum. “We are seeing a greater focus from health systems and physicians on improving the integration of care to improve quality and…


Designing for the Modern Healthcare Consumer

In a time when most information is available at the touch of a button, the average consumer has grown to expect quickness and convenience with every purchase they make; health care is no exception. These expectations, combined with recent regulatory requirements, have driven medical practices to alter their operations, focusing more on the patient’s convenience and long-term health. By implementing the medical home model of care, bundling services within a facility, and opening minute clinics in retail locations, health care providers are accommodating consumer needs in a way that requires adjustments from health care real estate developers as well…


How The ‘ACA’ Is Affecting Health Care Real Estate Strategy

Many health care service providers have spent the past few years attempting to understand and anticipate the vast changes resulting from the implementation of the Affordable Care Act (ACA) given the size and complexity of the law. Naturally, at HSA PrimeCare, we were particularly intrigued by the law’s potential effect on the real estate component of health care providers’ ambulatory care strategies as a result of the potential influx of newly insured patient populations and the shift from fee-forservice to outcome-based payments. In order to gain a greater sense of perspective, we reached out to our clients in C-Suite positions at the leading health care institutions across the Midwest to conduct a “listening tour”…