Home » Archives for August 2025

Planning Exit Strategies That Preserve Value in Health System Real Estate Holdings

Capital constraints, CON timelines, and the shift to ambulatory, value‑based care are tightening the window for health systems to realign their real estate. The mandate is triple‑aim: protect clinical integration and population health access, keep operations seamless, and improve capital efficiency. Executive prompt: How should our health system balance ambulatory expansion with acute care investment? Bremner Healthcare Real Estate—healthcare‑exclusive since 1989 and validated by our acquisition by Duke Realty—advises beyond transactions. We integrate service-line strategy, regulatory timing, and balance‑sheet goals to turn exits into strategic portfolio optimization, not one‑off sales. With national health system partnerships and $3.4B+ on campus and off campus developments, we bring fiduciary rigor and operating fluency to structure sale‑leasebacks, JVs, and recapitalizations that preserve provider control and unlock growth. Health systems are exiting owned real estate to unlock capital, reduce risk, and accelerate value-based care—not to chase one-time gains. The most successful exits align directly to population health strategy, operational continuity, and balance-sheet resilience while preserving provider control. With healthcare cycles tightening, a disciplined approach to objectives, segmentation, structure, regulatory timing, and clinical integration is essential. Bremner Healthcare [...]

2025-08-27T19:10:58-05:00August 27th, 2025|Blog|Comments Off on Planning Exit Strategies That Preserve Value in Health System Real Estate Holdings

Structuring Healthcare-Real-Estate Investment JVs: Health-System Finance, Population Health, Value-based Care, Clinical-Integration, CON Strategy

Capital is tight, CON regimes are unpredictable, and value-based contracts keep shifting care to ambulatory settings. The imperative is clear: expand access and standardize quality while protecting the balance sheet and preserving clinical control—simultaneously advancing clinical, operational, and financial performance through population health, capital efficiency, and strategic portfolio optimization. Executive question: “How should our health system balance ambulatory expansion with acute care investment?” Bremner Healthcare Real Estate is healthcare-exclusive since 1989—our market leadership validated by acquisition by Duke Realty. We’re strategists first, translating care models and capital plans into JV structures, governance, and campuses that perform—not just property transactions. Health systems are turning to real estate joint ventures to expand access, accelerate ambulatory strategies, and protect balance sheets—without compromising clinical control. When designed around population health and value-based outcomes, a JV becomes an operating asset that advances the care model, not just a financing tool. Bremner has been healthcare-exclusive since 1989, with market leadership validated by our acquisition by Duke Realty and programmatic partnerships with national health systems. Our track record includes $3.4B+ on campus developments that tie capital to performance, governance, [...]

2025-08-27T19:07:24-05:00August 25th, 2025|Blog|Comments Off on Structuring Healthcare-Real-Estate Investment JVs: Health-System Finance, Population Health, Value-based Care, Clinical-Integration, CON Strategy

Matt Bremner: Partnerships are a powerful tool in modern healthcare

In today’s evolving healthcare environment, strong partnerships are more essential than ever. Health systems are expected to increase access, improve outcomes and remain financially stable, all while navigating rising costs, lower reimbursement rates, staffing challenges and shifting patient expectations. Meeting these demands alone is increasingly challenging. That’s where healthcare real estate partnerships can add significant value. When healthcare real estate developers collaborate with health systems across the country, the result is outpatient facilities that align with long-term strategic goals and bring world-class care closer to home. One example of a successful partnership is illustrated by the recent opening of the OU Health Stephenson Cancer Center at Norman Regional, a 48,000-square-foot, state-of-the-art facility that will deliver comprehensive cancer care to patients throughout southern Oklahoma. This project, a collaboration between Bremner Healthcare Real Estate, the Norman Regional Health System and OU Health, represents a shared commitment to advancing care and access in that region. While Norman Regional could have pursued this project on its own, partnering with Bremner brought in specialized expertise in healthcare real estate development that elevated the outcome. The result is [...]

2025-08-20T15:01:32-05:00August 20th, 2025|News|Comments Off on Matt Bremner: Partnerships are a powerful tool in modern healthcare

Bremner moves up to No. 9 in Modern Healthcare rankings

We’re proud to share that Bremner Healthcare Real Estate has been ranked No. 9 on Modern Healthcare’s 2025 list of Top Development Firms — up from No. 12 last year! This serves as a testament to the trust our partners place in us and the quality of the facilities we deliver. From outpatient centers to specialty hospitals and everything in between, we’re committed to delivering thoughtfully designed, strategically located facilities that support better care and stronger communities. Thank you to Modern Healthcare for the honor, and to our team, clients and collaborators for helping us achieve this recognition. Read more here: Healthcare construction grows despite financial pressures Matt Bremner: Partnerships are a powerful tool in modern healthcare In today’s evolving healthcare environment, strong partnerships are more essential than ever. Health systems are expected to increase access, improve outcomes and remain financially stable, all while navigating rising costs, lower reimbursement rates, staffing challenges and shifting patient expectations. Meeting these demands alone is increasingly challenging. That’s where healthcare real estate partnerships can add significant value. When healthcare real estate developers collaborate with health systems across [...]

2025-08-14T14:20:55-05:00August 13th, 2025|News|Comments Off on Bremner moves up to No. 9 in Modern Healthcare rankings

Bremner Real Estate celebrates cancer center opening

Norman Regional Health System and OU Health join to provide high-quality, research-driven cancer care NORMAN, Okla. – Indianapolis-based Bremner Healthcare Real Estate celebrated a new state-of-the-art cancer center it has developed. The OU Health Stephenson Cancer Center at Norman Regional will serve patients from Norman Regional Health System and OU Health. The partnership is a powerful step toward enhancing healthcare services for patients in Norman and across southern Oklahoma.  “We are proud to continue our strong partnership with Norman Regional and OU Health through the development of this amazing facility,” said Kevin Knue, Senior Vice President and Partner at Bremner. “The OU Health Stephenson Cancer Center represents a shared commitment to delivering world-class cancer care close to home in the most comfortable environment possible.  We are honored to contribute to a project that will make a lasting impact on patients and families throughout the state of Oklahoma.”  The OU Health Stephenson Cancer Center at Norman Regional is located at Norman Regional Health’s flagship hospital campus at the southwest corner of I-35 and Tecumseh Road. The 48,000-square-foot building will combine a full spectrum [...]

2025-08-20T15:00:34-05:00August 13th, 2025|News|Comments Off on Bremner Real Estate celebrates cancer center opening
Go to Top