For example, Tucson Heart Hospital-Carondelet LLC recently signed a long-term lease 18,976 square feet at 4892 North Stone Ave. to expand is medical offices. The company is a subsidiary Carondelet Health Network, which operates four hospitals in southern Arizona, as well as the Carondelet Neurological Institute, 20 primary care and specialty care offices, two ambulatory surgery centers and various outpatient services.

The single-story building, which was built in 1998, previously housed the Tucson Heart Center, a cardiology practice run by Pima Heart Group, according to Thomas Nieman, a principal with PICOR Commercial Real Estate Services, a Cushman & Wakefield Alliance member. Nieman and Rajan Lal represent the building owner, Nashville, Tenn.-based Healthcare Realty Trust Inc.

The medical group recently completed its own build-to-suit facility nearby and vacated the building, which is connected to Carondelet's Tucson Heart Hospital. The asking lease rate for the building is $25 per square foot, modified gross.

"There's a lot of uncertainty in the market because of healthcare legislation, but the medical office market is still doing okay," Nieman tells GlobeSt. He explains that most of the development activity involved medical office condos, which were purchased by physician groups rather than speculative investors.

As a result, the market was not overbuilt with speculative multi-tenant medical office buildings. "In that sense, we didn't have a glut of space, so we're healthier than many other markets,"Nieman says.

No research is available that specifically tracks medical office space, but data shows that Tucson's entire office market is outperforming most national markets. For example, the city ranks as number 19 on Marcus & Millichap's National Office Index, and the firm's 2010 National Office Report says that minimal inventory growth will slow vacancy increases and limit rent declines in Tucson this year.

Local payrolls are projected to expand by 1,500 jobs, or 0.4%, in 2010, including 500 office-using positions, representing growth of 0.7%. Despite a forecast 40 basis point rise to 15% this year, vacancy in Tucson will remain well below the national average.

Asking rents are projected to contract 1.2% in 2010 to $21.49 per square foot, while effective rents will drop 3.3% to $16.88 per square foot. Last year, when vacancy spiked 220 basis points, asking and effective rents fell 0.2% and 4.4%, respectively.

Meanwhile, developers are expected to bring just 25,000 square feet online in 2010, a 0.4% addition to inventory. Last year, 103,000 square feet of office space came online, the largest annual delivery in three years, according to Marcus & Millichap.

Sales velocity for medical office buildings slowed less dramatically than activity for traditional office space, and the metro's high concentration of retirees should support medical office space demand going forward, says David Guido, regional manager of Marcus & Millichap's Tucson office.

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