The last twelve months have proven to be a roller coaster ride for the healthcare real estate industry sector. Like office, medical office buildings lost tenants as physicians closed operations and reduced their space. Unlike office, this niche then rebounded admirably not long after the pandemic began. It quickly became clear that medical office buildings were a solid investment that would withstand the vagrancies of the pandemic. Kudos must go to the men and women who navigated this minefield. On the following pages you will read about these experts we have selected based on a range of criteria, most fundamentally the impact they have made in their industry in the last twelve months.
INDIVIDUALS
TEAMS
AVISON YOUNG U.S. HEALTHCARE CAPITAL MARKETS Founded last year, the Avison Young U.S. healthcare capital markets team is co-led by Jim Kornick and Michael Wilson, who hold a combined 40 years of experience in selling healthcare real estate assets. Kornick embodies an enthusiasm for healthcare transactions driven by a desire to deliver better health outcomes for patients, and Wilson is known as a resource for developers, investors and capital partners and as an advisor to physician groups and health systems as they navigate monetizations, long-term real estate partnerships with landlords and more. Together, Kornick and Wilson coordinate on Avison Young’s multiple healthcare and non-healthcare specialties, including occupier services, agency leasing, healthcare property management and investor services for portfolio optimizations and sales, joint-venture equity partnerships and sale-leasebacks. The two professionals have led their team to complete more than $1 billion in transactions during the past 3 years, including multiple more than $100 million transactions. Serving as top brokers at Avison Young, Kornick and Wilson successfully closed several transactions at the peak of the pandemic by working with buyers, sellers and tenants to build confidence in order to move forward. The team continually views the sector with the long-term lens; recognizing market swings while maintaining a strong belief in the inherent strength of the healthcare real estate market. Recent clients for the team include Harrison St, Hammes Co., Grosvenor, HSA Primecare, Remedy, Calpers, Healthcare Realty, IRA Capital, Seavest and more.
CBRE HEALTHCARE & LIFE SCIENCES CAPITAL MARKETS CBRE was one of the first brokerage firms nationally to form a specialty practice focused on the healthcare and life science investment sector. The team was formed in 2007 and is led by vice chairmen and co-leaders Chris Bodnar and Lee Asher. In 2020, the group was responsible for the disposition of more than 3.8 million square feet of healthcare real estate across 85 properties, and its sales and financings totaled more than $1.6 billion last year. A recent notable transaction for the team was a 419,000-square-foot portfolio, which comprised seven medical office buildings and four inpatient rehabilitation facilities across eight states. The transaction represented one of the first mixed healthcare asset class portfolios in the market and the team was able to provide a favorable outcome for the client during the height of the pandemic. CBRE’s healthcare and life sciences capital markets team continues to utilize thought-leadership as a cornerstone to building trust with clients. For 11 years, the team has published CBRE’s Healthcare Real Estate Investor & Developer Survey, an annual report that helps identify key patterns that influence the healthcare real estate sector and helps clients understand the state of the market and projected trends. The report is used by a large percentage of appraisal groups when evaluating the sector. Aside from their professional responsibilities, Bodnar and Asher serve as frequent speakers and panelists within the industry and they each support a variety of community organizations.
COX, CASTLE & NICHOLSON HEALTHCARE REAL ESTATE GROUP Thanks to its full-service approach to advising on all facets of healthcare real estate transactions, the healthcare real estate group at Cox, Castle & Nicholson has represented some of the largest healthcare REITs in the nation, including Ventas, Griffin America Healthcare REIT and Global Medical REIT. The group also represents additional players in the field, from pension funds, hospitals and private owners/operators, to physician groups and all types of investors. Established in 2007 and comprised of commercial real estate attorneys, the group is led by partner and chair David P. Lari, as well as partners Andrew Fogg, David Waite, Greg Caligari, Scott Birkey and senior counsel Scott Abrahamson. The group has handled a myriad of healthcare-related transactions and advised on acquisitions, dispositions, financing, entitlement and development, construction, leasing and property management, joint-venture, risk management and insurance within the sector. The group works on a wide array of healthcare assets, including medical office buildings, hospitals, ambulatory surgery centers, senior housing projects, skilled nursing facilities and more. Recently, the group has begun advising clients on integrating renewable energy systems into projects to meet California solar and energy mandates. The group also specializes in the relationship between healthcare and land and advises developers and public entities in processing administrative land-use actions, including the negotiation and approval of entitlement documents, development agreements, owner participation agreements, disposition and development agreements, subdivision approvals, conditional use permits, variances, zoning and general plan modifications. The group interacts and appears before government authorities on land-use and zoning issues.
CUNINGHAM HEAL Cuningham’s Heal studio is focused on shaping the healthcare industry by delivering exceptional design based on real-world experience, thorough research and evidence-based solutions. Since the firm began serving the sector in 2010, the team has been involved in the architecture and interior design of healthcare projects totaling more than $2 billion. The team delivers strategically-designed spaces that are tailored to be responsive to the typical flow of patient and healthcare worker needs, while simultaneously offering flexibility as situations change. Understanding that nurses juggle multiple assignments at once and are often forced to multitask due to complex building layouts and tight time constraints, the team, utilizing their philosophy, recently studied the reasonable distance for a nurse to walk to a supply room and whether there was a way for designers to mitigate inefficiencies by assessing the walkability of a given floorplan. In partnership with Cuningham’s research team, the Heal studio developed software designed to measure the distances from each given type of room to the nearest second given type of room, which helps designers verify that their floor plans are optimizing average walking distance. The specific research has the potential to enhance job satisfaction by reducing excessive walking distances and travel times and could lead to more time for critical patient care. In recent years, the team has worked on several significant projects, including the Hamad General Hospital Emergency Department Annex in Qatar and the Banner Desert Medical Center expansion in Mesa, AZ.
CUSHMAN & WAKEFIELD’S HEALTHCARE CAPITAL MARKETS TEAM Cushman & Wakefield’s healthcare capital markets team focuses exclusively on advising healthcare providers, developers and third-party investors on acquisition, disposition and debt and equity strategies across the continuum of care. Since its launch in 2010, the team has carved out a national presence in healthcare property investment, sales and finance. The team is led by Travis Ives and Gino Lollio, who support investors, physicians and healthcare systems in evaluating their real estate portfolios and transacting to assure those clients realize their investment and broader business and system goals. The healthcare capital markets team is adept at understanding clients’ needs and helping them meet their objectives through extensive in-depth marketing, end-to-end transaction management and integrated service delivery. The group has collectively closed more than 100 transactions on more than four million square feet across more than 100 properties, valued at more than $1.65 billion. Last year, the team notably closed the $37.9 million sale of a nine-property portfolio of medical office buildings occupied by GenesisCare. This year, the team closed the more than $100 million sale of the Pomerado Outpatient Pavilion in San Diego, which is one of the western U.S.’s largest transactions overall and is expected to be one the nation’s largest medical office transactions of the year. The group has also consulted and transacted with health systems across the nation on disposition strategies for decommissioned and active hospitals that will no longer serve as short-term acute care operators.
EQUITY MARKET STRATEGY Emerging from the Great Recession, Equity LLC’s market strategy team completed more than 250 urgent cares, resulting in a 10% market share of new urgent cares opened between 2011 and 2013. The majority of these transactions were single-tenant retail or outparcel end caps at major shopping centers, which assisted the team in pioneering the convergence of healthcare delivery in a retail setting. More recently, the team has completed more than 150 behavioral health transactions, predominantly in a medical office setting, resulting in more than 10% market share since 2019. During the past three years, the team expanded its transactional experience to 94% of the top 50 MSAs by completing more than $300 million in transactions. The team now completes transactions in 44 states and represents more than 15 different healthcare use types in retail and healthcare settings. The group currently oversees 700 locations on behalf of clients, totaling more than 2.1 million square feet of location-based healthcare. Led by president Patrick Wathen, managing director Matt Lasky, VP Corey Taber, VP Zach Peterson and associate CJ Huang, the team partners with healthcare tenants to lead rollouts and optimize existing portfolios through brokerage and in-house proprietary analytics. Landlords frequently seek out the team’s expertise to learn how to incorporate medical uses into projects and to identify healthcare tenants’ desires.
H2C’S REAL ESTATE TEAM Founded in 2011, H2C’s real estate team is one of the largest advisors to health systems on real estate transactions in the country. The team, comprising managing director PJ Camp, VPs Matthew Tarpley and Kyle Hopkins, associates Mitch Levine and Michael Fioravanti, and senior analyst Stuart Gilbert, has led real estate strategy shifts in the sector. Its transactions for health systems in recent months include sale-leasebacks, developer selection processes and buybacks of leased real estate portfolios. In 2020, the team handled $700 million in transaction volume; leading it to record performance during the pandemic as healthcare real estate became attractive to investors. Recent significant transactions for the team include a $203 million sale/leaseback for Tower Health, a $140 million acquisition of leased properties for Midwest Health System, an $86.3 million sale of three inpatient rehabilitation facilities, a $22 million shariah-compliant construction loan for a senior living community in Punta Gorda, FL, a joint-venture equity placement for the development of a 48-bed inpatient rehabilitation facility in Phoenix, and a $22 million build-to-suit financing for an inpatient rehabilitation facility in Ohio. The team additionally advises large not-for-profit health systems on the ever-evolving landscape of real estate strategies. Following Fifth Third’s acquisition of H2C, the team is leveraging its presence to expand into alternative asset classes, however, it will continue to specialize in healthcare real estate.
HSA PRIMECARE’S CORE TEAM HSA PrimeCare’s expertise has served as a constant in the ever-changing industry, especially during the pandemic, when its core team worked to plan future medical office buildings, despite market uncertainty. The team, which includes president John Wilson, EVP Robert Titzer, SVP of acquisitions and developments Jon Boley, SVP of development Mark TeGrootenhuis and senior property manager Margaret Gaca, overcame challenges to maintain operations across multiple states last year, while moving forward with the development of three projects. Since its inception in 1995, HSA PrimeCare has developed and managed healthcare facilities, both on and off hospital campuses, and it has worked with major health providers as they adapt to new technologies, regulations and a growing number of mergers and acquisitions, all of which have impacted the size, location and design of healthcare facilities. In total, the firm has developed, leased and/or managed more than two million square feet of medical office buildings. Its decade-long partnership with Silver Cross Hospital in New Lenox, IL has resulted in many successful projects, including the latest phase of a 40,000-square-foot medical office pavilion that opened in 2020. The state-of-the-art facility – the fourth that HSA has developed for Silver Cross since 2008 – houses urgent care, occupational health, primary care, cardio therapy, dermatology and urology. Drawing on its extensive experience developing and operating a range of healthcare properties in geographically diverse markets, HSA PrimeCare’s executives regularly offer insights into the broader healthcare real estate industry.
JLL HEALTHCARE JLL healthcare provides a range of real estate and facilities solutions for hospitals, physicians and other care providers, as well as real estate investors who own and operate medical and senior housing properties. Founded in 1999, the team is led by national practice leader of healthcare markets Jay Johnson; division president of healthcare work dynamics Richard Taylor; SVP and national practice lead of healthcare valuation advisory Erik Hill; senior managing director of M&A and corporate advisory and healthcare group leader Ted Flagg; and senior managing director and healthcare group leader Mindy Berman. The team services 566 million square feet of hospitals, medical offices and clinics annually. The team works in tandem to deliver the services to clients, including advising and implementing real estate solutions for healthcare clients and providing advisory consulting, capital markets, brokerage, construction project management, property management, valuation advisory and facilities management. JLL has more than 2,300 U.S. team members that specialize and focus on the healthcare sector. The team developed its own healthcare industry curriculum, including internal training on Stark Law, Antikickback Statute and HIPAA compliance, which the firm requires all healthcare team members to complete annually. The firm prioritizes developing technologies, such as Geographic Information Systems, to manage real estate performance as an enabler of its clients’ strategy via data-driven decision support, including spending more than $400,000 annually to acquire the most current business data.
JPMORGAN CHASE COMMUNITY DEVELOPMENT BANKING The community development banking team at JPMorgan Chase invests in NMTC, lends to Community Development Financial Institutions and finances affordable housing. Many of these loans and investments support federally qualified health centers or other healthcare organizations that provide primary care to low-income or underserved communities. Established in 2004, the team is led by Alice Carr, Kevin Goldsmith, David Walsh, Cecile Chalifour, Scott Schmid, Bruce Martin and En Jung Kim. Since the start of the pandemic, community development banking has provided more than $179 million of financing to develop healthcare centers and community facilities that support relief efforts in under-invested communities throughout the nation. Last year, the team also implemented a special purpose credit program within its NMTC product to provide additional net financial benefit for projects that meet racial minority leadership/ownership or community service criteria. As an example, the Community of Hope project in Washington D.C. provides healthcare services, specifically maternal care, for low-income families. Last year, the team also invested $2.5 million of NMTC financing to support the Lakeshore Community Health Care project in Sheboygan, WI. The $7.5 million total project cost funded the rehabilitation and conversion of a 20,000-square-foot single-story office into a new federally qualified health center. The Lakeshore facility will provide expanded access to primary care medical integrated with behavioral health, comprehensive oral health, 340B pharmacy, health education and preventive/wellness.
LEE & ASSOCIATES 19500 VENTURA Lee & Associates principal and managing director Scott Romick and associate Eugene Kim advise clients to be flexible and nimble in their approach to real estate with respect to Black Swan risks such as COVID-19. In the face of the pandemic, the two professionals pivoted to meet each client’s unique needs, such as helping landlords identify best uses and implementing marketing strategies to achieve short- and long-term objectives, and they also worked with companies to right-size their office footprint following the growth of remote workforces. Romick and Kim specialize in tenant representation and the sale and leasing of commercial office properties. Making up the 19500 Ventura team at Lee & Associates, Romick and Kim’s latest project in Tarzana, CA, provides much-needed space for those seeking proximity to Providence Cedars-Sinai Tarzana Medical Center. The project, 19500 Ventura, has been fully-renovated to provide new-age medical office development for health and wellness tenants. The project allows tenant improvements and offers ample signage opportunities and new energy-efficient Solarban windows. Upon completion, 19500 Ventura will be a desirable destination for medical and non-medical tenants looking to conduct business inside a newly renovated building with class A contemporary finishes. Since joining Lee & Associates in 2001, Romick has completed more than 800 transactions totaling more than 2.75 million square feet and valuing more than $440 million. Throughout Kim’s career, he has overseen operations for more than 4.5 million square feet of commercial assets and he has transacted leases, acquisitions and dispositions valued at more than $200 million.
ROTI RODGERS GROUP (HEALTHCARE REAL ESTATE DIVISION, MARCUS & MILLICHAP) With 40 years of combined experience in commercial real estate, Frank Roti and Brett Rodgers approach the healthcare market with an appreciation for what the sector brings to the community, as well as its value to clients and investors due to tenants’ strong credit, growth and high lease renewal rates. Formed in 2010, the Roti Rodgers group is part of Marcus & Millichap’s healthcare real estate division. As the first VPs of investments at the firm, Roti and Rodgers lead their nine-member team and oversee all aspects of the group’s CRE services, ensuring clients’ needs are constantly met while also staying ahead of the curve on industry trends and finding prospective properties and opportunities. The team advises physician groups and developers by providing vital information on how to structure their assets to achieve national exposure and receive multiple offers from a national buyer pool. The team has sold multi-tenant private medical practices along with single-tenant assets with investment-rated credit tenants to the national private equity market, along with REITs. The assets range in size from $1 million to $120 million and are located within the Midwest, East Coast and southern states. The pandemic created an influx of opportunities and interest in the sector, which prompted the team to strengthen relationships with clients through strong communication and work ethic, despite uncertainty. Roti and Rodgers are active members of their communities.
NEWMARK’S BOSTON MEDICAL-ACADEMIC PRACTICE GROUP Newmark’s Boston medical-academic practice group is the only real estate brokerage team in Boston focused fully on the specific sector. The group provides leasing, sale/recapitalization and advisory services for a diverse roster of clients, including landlords, tenants and operators. Its areas of specialization include medical-academic institutional advisory, medical-academic capital markets and tenant and landlord representation. With a comprehensive background in the medical academic real estate sector, the group is dedicated to advising hospitals, health systems, academic institutions and owners of medical-academic assets on real estate needs. The group’s advisory services are designed to help stakeholders in medical-academic clusters manage the nuances of the dynamic real estate market surrounding their institutions. Since 2010, the team has been involved in 80 of the largest 100 medical-academic real estate transactions in Boston. Its major lease transactions total more than 10 million square feet and include properties such as Boston Medical Center, Tufts Medical Center, Boston University, Northeastern University, Boston Children’s Hospital, Brigham & Women’s Hospital, Mass General Hospital, Dana Farber Cancer Institute, Harvard Medical School, Harvard School of Public Health, Harvard Pilgrim Healthcare, Beth Israel, South Shore Hospital System and Steward Health. Throughout the past 10 years, the group has executed more than 20 million square feet of medical-academic sales and leases and completed more than $20 billion in aggregate transaction value. The members of Newmark’s Boston medical-academic practice group are committed to supporting a variety of causes and actively support the initiatives of their institutional clients.
RYAN HEALTHCARE TEAM Ryan Cos.’s healthcare team holds perspectives across the end-to-end spectrum of healthcare real estate and facilities, which allows it to challenge conventional thinking and better meet the needs of its clients. Ryan Cos. has been executing healthcare projects since 1993; however, it shifted to a more focused, strategic approach in 2015, upon the founding of its healthcare team. The team provides services in architecture and planning, development, construction, financing and ongoing management of healthcare facilities. Throughout the pandemic, the interdisciplinary healthcare team helped clients evaluate their options in responding to challenges. For example, its development, design and construction teams helped health systems in Tampa, FL identify available, vacant spaces that could be quickly and cost-effectively converted for triage and recovery. Having identified five buildings with potential for repositioning, the team focused on retrofitting two former retail spaces, including a two-story option ideal for installing utilities on the first floor while running med-gas lines to the second floor where beds could be placed. The team also delivered a thorough facility assessment and actionable recommendations for a Minnesota-based health system within less than 24 hours as they prepared for an anticipated surge of COVID-19 patients. Since 2018, the healthcare team has completed more than 1.5 million square feet of healthcare projects across 15 states. The team additionally issues a quarterly email to healthcare leaders with blog posts, whitepapers and articles on the current trends and considerations regarding healthcare real estate.
TRANSWESTERN’S NATIONAL HEALTHCARE ADVISORY SERVICES Transwestern’s healthcare advisory services team is undergoing a robust national expansion, which calls for each team member to learn new skills and meet evolving client and consumer needs. The firm has recruited team members from various healthcare services fields, including nursing and medical device sales, to provide a comprehensive understanding of healthcare users’ real estate needs. The team, founded in 2010 and led by executive managing director Eric Johnson, SVP Ashley Cassel and VPs Jennifer Hutchens and Tanja Marinovic, operates from 21 cities and includes more than 175 members. The group offers services including location strategy, funding and site selection, development, acquisition and disposition, long-term property and facilities management, construction management and portfolio optimization. The team’s experts are well-versed in government policy, industry regulation, financing subtleties and the ever-changing market forces impacting the healthcare field. In 2020, the group established a client-focused construction services team that is dedicated to supporting property improvements through project and construction management expertise, a deep knowledge of the local market, and experienced oversight of client policies and procedures. By utilizing the firm’s local construction experts during the pandemic, the team continued to complete tenant construction projects while supporting owner clients and their assets. In addition, each team member is dedicated to sharing their expertise with younger professionals to help them grow in their careers, and they are committed to giving back to their communities by supporting nonprofit organizations, including those providing relief from the COVID-19 pandemic.
ORGANIZATIONS
ATKINS COS. Atkins Cos., a multigenerational commercial real estate developer, investor and property manager, employs a hands-on approach to managing 700,000 square feet of medical office space while consistently delivering state-of-the-art facilities. Founded in 1949, Atkins Cos. is led by managing partner Bob Atkins and its portfolio spans New Jersey, Pennsylvania, Maryland, Connecticut and Ohio. The transition from a hospital-centric inpatient model to a community-focused outpatient model marks one of the largest seismic shifts in healthcare; a trend Atkins Cos. continues to capitalize on. Atkins Cos.’ understanding of untapped opportunities in the market is exemplified by the company’s execution of several noteworthy projects throughout the past several years. For example, the company acquired a 95,000-square-foot office building in 2017 that was leased to both a regional bank and Hunterdon Healthcare, which was planning an outpatient surgery and imaging center. To reposition the property into a modern, full-service medical office building, Atkins Cos. negotiated a long-term lease with one of the area’s largest healthcare systems for the bank’s space and transformed the property into a regional medical office hub. Throughout the pandemic, Atkins Cos.’ diverse slate of healthcare tenants remained open to provide essential care to the public thanks to building-specific policies and procedures it implemented for sanitation and general building operations, such as anti-microbial cleanings of common areas. Atkins Cos. took proactive measures to ensure that the highest standards of safety and wellness were met by upgrading HVAC filtering systems and installing touchless and self-cleaning features. The company remains driven by the mantra coined by company founder S. Stephen Atkins — “Your handshake and your word are your bond – more important than any written contract.” Now under the second and third generation of Atkins family leadership, the firm’s commitment to integrity remains the same and continues to guide its work in the increasingly competitive and crowded asset class.
CA HEALTH & SCIENCE TRUST CA Ventures launched its medical office and life sciences division in early 2020 in an effort to foster the strategic expansion of the firm’s healthcare real estate offerings across the continuum of care, including medical office, life sciences and senior living. The division recently broke off and formed its own REIT as CA Health & Science Trust. The newly formed private REIT is led by president Russell Brenner and is externally managed by CAHST Management LLC, a global vertically integrated real estate investment management company affiliated with CA Ventures. The REIT recently announced the closing of a $245 million investment from partners Davidson Kempner Capital Management LP, Monarch Alternative Capital LP and CA Ventures, for the acquisition, development and renovation of medical office and life science buildings across the U.S. CA Health & Science Trust has since closed three acquisitions worth more than $85 million combined, for medical office buildings totaling 244,262 square feet in Illinois, Arizona and Indiana. Able to utilize CA Venture’s vertically-integrated platform, synergistic healthcare capabilities and national network, the REIT strives to balance an entrepreneurial approach coupled with institutional experience to create customized solutions. Well-equipped to capitalize on the enormous opportunity existing in the healthcare real estate sector, the REIT is committed to delivering prosperous, sustainable communities that also yield exceptional results for its capital partners and residents.
FLAGSHIP HEALTHCARE PROPERTIES LLC With a people-first philosophy rooted in its five core values — considerate, responsive, optimistic, excellence and grateful — Flagship Healthcare Properties has developed a reputation as a premier healthcare developer in the Southeast and Mid-Atlantic. The company, a fully-integrated outpatient healthcare real estate firm headquartered in Charlotte, NC, is led by president and CEO Brannen Edge, partner and chief accounting officer Tripp Tate, partner and EVP of leasing and brokerage Reed Griffith, and partner and EVP of property management Joseph Shull. Since the 2010 merger of two legacy firms with a 30-year history, Flagship has acquired and developed more than 75 properties and worked with more than 465 tenants. The company offers a full range of services, including investment and capital solutions, development, acquisitions, property sales, leasing and marketing, and facilities, property and asset management. The firm currently manages more than 4.8 million square feet of healthcare real estate across more than 200 properties and 11 states. Flagship additionally serves as the manager of its private REIT, which has a portfolio of more than 1.9 million square feet of medical office space and more than 220 tenants. During the past three years, Flagship has expanded strategic partnerships with healthcare systems throughout the Southeast; recently commencing its sixth and seventh projects for UNC Health, North Carolina’s largest academic health system. Flagship’s rapidly expanding client portfolio has led to internal growth with several new executive appointments as well as entries into new markets, including new offices in Triangle, NC and Atlanta, GA. The company encourages and supports many local nonprofit organizations through volunteering and donations, including American Heart Association’s annual Charlotte Heart Walk.
HAVEN SENIOR INVESTMENTS Driven by faith and the influence of his grandmother, who lived with Alzheimer’s Disease for 20 years, John Hauber founded Haven Senior Investments in 2015. The company combined Hauber’s passion for seniors and real estate. As CEO, Hauber has guided Haven Senior Investments through years of successful growth and performance. Expanding cautiously while moving forward, the company has raised capital from various sources and added an investor to the firm. Haven Senior Investments’ mission is to serve the owners, operators, buyers, sellers, developers and investors in the senior housing and assisted living industry by offering a range of services to help them maximize their objectives and investment returns. The Haven Senior Investments team brings a unique combination of finance, real estate, business, development, operations and healthcare experience to serve varied senior housing clients. The firm operates on a team approach, allowing clients to benefit from the team’s expertise. Its efforts are focused on the areas of independent living, assisted living, active adults and communities that specialize in Alzheimer’s and memory care. In 2021, year-to-date, the firm has already doubled the revenues of its previous best years, and with its current pipeline and transactions under contract, the firm expects to quadruple the revenue of its previous best year. Having honed his industry acumen and leadership skills during the Great Recession, Hauber is described as humble and gracious. He allows his team to be a part of developing the firm’s culture. He also holds a strong commitment to impacting the community outside of commercial real estate.
MONTECITO MEDICAL REAL ESTATE Early in its history, Montecito Medical Real Estate decided to take a physician-centric approach by treating physicians as partners rather than participants in one-off sale-leaseback transactions. This approach helped the company build lasting relationships that have allowed it to attain an influential position in the medical real estate field and achieve its mission: “Physicians take care of everyone; Montecito takes care of physicians.” Physicians have become a key element of the company’s referral network, enabling its ability to grow through word of mouth. The company recognized the importance to physicians of owning the buildings where they practice — as well as obstacles that sale-leaseback deals could present for groups seeking to balance the interests of senior physicians with ownership shares in their property and those of younger physicians who could not yet afford to invest. In response, the company pioneered a model called the Provider Real Estate Partnership that enables physicians to retain ownership in their buildings after a sale, while gaining opportunities for tax advantages, ongoing cash flow from the property, and a share of the profits upon resale proportionate to their retained ownership share. The program has proven so popular among physician groups that the firm emerged as a top privately-held acquirer of medical office properties, and physicians have opted to retain more than $65 million in equity in their buildings through the program to date. The company also created limited partnerships through which physicians can invest in portfolios of high-quality medical office buildings and ambulatory surgery centers. Established in 2006, Montecito Medical Real Estate is led by CEO Chip Conk and president Glenn Preston.
OGA (OMAN-GIBSON ASSOCIATES) After working at his family’s construction company early in his career, Bond Oman decided to do something different and took his construction expertise to a brokerage and mortgage banking company that specialized in the investment side of commercial real estate. Soon thereafter, in 1991, Oman and his partner Tom Gibson founded Oman-Gibson Associates, an asset management firm that assists banks in managing properties that had been acquired during the savings & loan crisis. OGA then began managing properties directly and moved into managing properties for some of the largest healthcare companies in the country. The company is currently led by Oman as CEO, alongside VP Fraser Schaufele, portfolio manager David Horn, VP of development Charles Watkins, VP of development Sam Sarbacker, senior managing director Matt Mattox and managing director Zee Jennings. OGA has developed expertise in site selection, financing and other critical aspects of healthcare development. It has built its business with a wide range of clients and it has developed more than 300 dialysis clinics. More recently, Oman and Gibson expanded the focus of the company to include hospital companies, behavioral health companies and physician specialty practices. In the past six years, OGA has averaged more than $100 million in healthcare development annually and it has developed more than 400 properties across 35 states for customers ranging from physician groups, behavioral health groups and national surgery centers to major hospitals and health systems. Gibson passed away in 2020, and OGA has continued to build upon his legacy with strong growth. Its recent expansion into the Southwest with a dedicated office in Dallas positions OGA for strong, diversified and nationwide growth going forward.
RYCORE CAPITAL LP Ryan L. Urech views healthcare real estate through a physician’s lens; taking into account how medical professionals operate their business and how the healthcare referral system fuels the medical community. Urech’s background in medical real estate and surgical operating companies taught him how to source underperforming medical assets and fix them by catering to the businesses of tenants, improving their operations through amenities and referral sources that complement the tenant mix of buildings. Urech founded Rycore Capital LP in 2019 and he now serves as CEO of the company, where he is responsible for the firm’s strategic direction. Rycore Capital LP focuses on providing enough specialties and medical services in a single building so that patients can see medical providers for an array of services under one roof. The company has grown from a one-person firm to a team of five professionals with a portfolio that will total 1.7 million square feet throughout Texas and the Southeast by the end of 2021. Rycore Capital perceived the pandemic as both a challenge and an opportunity for medical tenants. The firm sought out medical assets in distress to acquire under appraised value, including a building purchased in the fourth quarter of 2020 that had 35% vacancy in shell condition. Since taking over the asset, Rycore Capital has slashed expenses, upgraded the exterior of the building, and constructed a spec-suite in move-in-ready condition. With the cost-cutting initiative and new leases, the asset is cash-flowing double-digit yield to Rycore Capital investors. The firm has two subsidiaries, Rycore Commercial and Rycore Capital Advisors, a Texas-registered brokerage company and an SEC-registered Investment Advisor Representative.
STIRLING PROPERTIES LLC The healthcare delivery system is changing into one where patients are customers and the industry’s goal is to get the product to the consumer in the shortest amount of time. Stirling Properties LLC is capitalizing on the need for healthcare facilities to be close to where patients live — in their neighborhoods and communities. The company is led by a team of executives including president of development Townsend Underhill, development director Mac Bauer and VP of finance and capital markets Justin Landry. Founded in 1975, the full-service commercial real estate company specializes in commercial advisory services, brokerage, asset and property management, development and redevelopment, and investments over a wide array of property types, with a recent focus on the healthcare sector. Its healthcare clients include Ochsner Health System, LSU, St. Tammany Parish Hospital, Our Lady of the Lake, Baton Rouge General and more. In 2017, Stirling Properties developed its first mixed-use medical facility in LaPlace, LA. The micro-hospital was based upon a 20-year lease to Ochsner Clinic Foundation for a 20,000-square-foot freestanding emergency room and imaging services clinic. In 2018, Stirling Properties acquired and subsequently managed the renovation of the shuttered Louisiana Heart Hospital in Lacombe, LA, returning it to commerce through a long-term lease with Ochsner Health System. The 205,000-square-foot building was repurposed into a post-acute care hospital, featuring long-term acute care, skilled nursing and inpatient rehabilitation services in one central location. Stirling Properties currently has more than two million square feet of projects under development and/or redevelopment, totaling nearly $196 million; almost half of which is in the healthcare sector.
TOUCHMARK Touchmark strives to re-shape the senior housing experience by providing superior settings, service, operations and management. Guided by the vision of founder and chairman Werner G. Nistler Jr., Touchmark is committed to providing leading-edge programs in order to enhance the health and wellness of seniors. Founded in 1980, the company is led by Nistler, CEO Marcus Breuer, and VP and controller Tucker Fife. Touchmark develops, owns and operates retirement communities that provide housing and healthcare services in a resort-like setting, designed to meet the needs and desires of seniors. It provides support for all levels of acuity, including independent living, assisted living and memory care. Touchmark recently made a remarkable pivot to protect its residents and staff at the onset of the pandemic, and as a result, occupancy remained high, infections and deaths were low, and the group successfully positioned itself to continue expanding despite the challenging environment. In addition to owning and operating 13 properties, Touchmark also sponsors the Touchmark Foundation, a public charity founded in 2002 in an effort to enhance the well-being of seniors. The Touchmark Foundation aims to become a national organization that improves the lives of seniors by addressing key issues that affect seniors’ lives now and in the future. The foundation takes on this challenge through its connection to Touchmark retirement communities. It gains insights on the pressing needs and emerging trends of the senior population, while Touchmark communities, in turn, benefit from the implementation of programs that address seniors’ needs.