BLOGS
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 [...]
Five Real Estate Questions Healthcare Professionals Should Be Asking
Healthcare real estate is a fast-paced dynamic world; a strong real estate portfolio is critical in empowering systems and physician groups to achieve the “Holy Trinity” of healthcare. Quality of care, convenience, and cost-effectiveness. Outdated spaces, on the other hand, are a drain on all three, and operational and profitability challenges impact your ability to deliver the exceptional standard of care to which you hold yourself. When investigating opportunities, it is essential to ask some tough questions and dig deep into your current assets, as well as your future goals. Here are five healthcare real estate questions (and a bonus “big” question!) to ask as you start the process: Do our existing real estate assets provide our community with a top-rated healthcare experience? Healthcare providers and systems need to take an unflinching look at their existing portfolio. Is it meeting their needs? More importantly, is it meeting the needs of [...]
Strategy, Financing, Development: An Innovative Perspective in Healthcare Real Estate
One of the largest problems within the delivery of healthcare is aging infrastructure and the buildings themselves fail patients and providers alike. Whether they create compliance issues, simply underperform because of lacking space and equipment, or are in the wrong location, they are a real problem that has only been further exposed by the COVID-19 pandemic. Aging infrastructure has made it tough to find enough dedicated facilities in hospitals for COVID-19 care, so many patients flood emergency rooms each day, potentially exacerbating the spread of the virus. COVID-19 has also shown a real demand for additional outpatient facilities to treat affected individuals. The reality is that often new facilities could position entire health systems for better patient care in terms of COVID-19 or the next health pandemic to face people. The Reality of COVID-19 Few responses to the COVID-19 pandemic have been as heroic as those mounted by hospitals and [...]