5 Key Considerations when addressing succession planning
One of the common topics we hear from our clients are the challenges of succession planning involving the real estate – specifically the high buy-in, which often requires refinancing the property (assuming there is equity available) or suppressing the value of the equity buy-in and buy-out, requiring new physicians to buy into the real estate in order to create liquidity for retiring physicians.
In most cases, the buy-in and the buy-out is significantly less than selling all or a portion of the real estate ownership where we are currently achieving valuations that range from 16x – 20x EBITDA
Planning your exit strategy can seem daunting, no matter how much time you allow yourself to prepare. That’s why partnering with HREA | Healthcare Real Estate Advisors is a critical component in ensuring a smooth transition when considering the sale or partial sale of your medical real estate.
A well-planned succession plan helps maximize the value of your real estate and translates your goals into actionable steps.
HREA will partner you with a buyer that has the same long-term operational goals as you, while maximizing the proceeds of the real estate and provide you with the ability to modify or make improvements to the building and site in the future.
The sale of the Property can be structured to allow existing and future physicians to invest in the real estate – known as the tax-deferred Hybrid Sale-Leaseback®, which generates an annual dividend of over 9% for the physicians. In addition, this type of transaction reduces the buy-in amount for incoming physicians and maximizes the buy-out for existing physicians.
Over time, the ownership between the Operating Company and the Property Holding Company can diverge creating a conflict of interest. Planning before a transition is on the horizon is beneficial as you can extract the highest value and best terms for your medical real estate while ensuring long-term control and stability for the practice and the real estate.
HREA News
To our valued clients, partners, and dear friends, may this holiday season bring you warmth, laughter, and joy. We wish you a New Year filled with endless possibilities and success.
As we look ahead to 2025, the healthcare real estate market is brimming with optimism, primarily fueled by lower interest rates that are driving valuations to new heights! This positive trend not only enhances the potential for lucrative investments but also signals a robust acquisition activity surge, presenting exciting opportunities for investors.
As we gather around the table this Thanksgiving, HREA extends our warmest wishes to you and your family. This season of gratitude reminds us of the importance of the strong relationships we have built within our healthcare community. We are sincerely thankful for your support.
HREA | Healthcare Real Estate Advisors is pleased to announce the real estate sale of a modern Class “A” medical office building located in Chapel Hill, NC. The single-tenant medical office building is 100% leased and occupied by UNC Physicians Network.
HREA | Healthcare Real Estate Advisors was proud to title sponsor and speak at this year’s PHA Leadership Summit in Naples, FL.
HREA | Healthcare Real Estate Advisors is honored to sponsor PHA's 2024 Leadership Summit, taking place at Ritz Carlton in Florida from September 21st to September 23rd, 2024.
Transaction volume within the healthcare real estate sector has experienced a significant “bounce-back” in 2024
HREA | Healthcare Real Estate Advisors is pleased to announce the real estate sale of a micro-hospital located in a rapidly growing area in Phoenix, AZ, the capital and most populous city of Arizona.
HREA | Healthcare Real Estate Advisors is pleased to announce the real estate sale of a single-tenant net leased urgent care clinic located in Casper, WY. The state-of-the-art facility was fully renovated in 2022 and is 100% leased and occupied by BestMed Urgent Care.
HREA | Healthcare Real Estate Advisors is pleased to announce the real estate sale of a newly built state-of-the-art outpatient surgery center and clinic that is well-located in Vestavia, Alabama, an affluent suburb of Birmingham, and a medical office building in Montgomery, Alabama.
HREA | Healthcare Real Estate Advisors is pleased to announce the real estate sale of three (3) free-standing medical office buildings that were specially designed and built to meet the needs of each of the specialty practice groups, including urgent care, neurology, orthopedics, physical therapy, and dentistry.
HREA | Healthcare Real Estate Advisors is pleased to announce that Joe Karnes has joined the company as a Senior Associate in its Denver office.
In 2023, HREA’s team of professionals advised on the sale of 22 healthcare real estate assets throughout the U.S totaling $245 million in transaction volume. With a primary focus in representing healthcare providers, HREA leverages its unique experience in the industry by navigating advanced transaction structures that are tailored to each client’s goals and objectives, including a variety of tax-deferred structures.
HREA | Healthcare Real Estate Advisors is pleased to announce the real estate sale of a multi-specialty outpatient surgery located in Effingham, IL. Effingham Surgery Center consists of 17,201 rentable square feet and is 100% leased and occupied by the practicing physicians in partnership with USPI and Sarah Bush Lincoln Health System.
HREA | Healthcare Real Estate Advisors is pleased to announce the real estate sale of Specialists Hospital Shreveport (“Hospital”), a physician-owned surgical hospital, and four (4) affiliated medical office buildings, totaling approximately 192,640 square feet (“Portfolio”).
HREA | Healthcare Real Estate Advisors was honored to attend and sponsor the Becker’s 29th Annual Meeting: The Business & Operations of ASCs at Swissotel in Chicago, Illinois.
HREA | Healthcare Real Estate Advisors is pleased to announce the real estate sale of seven (7) single-specialty medical office and outpatient surgery centers located throughout northwest South Carolina.
HREA | Healthcare Real Estate Advisors is proud to be a sponsor of the Becker’s 29th Annual Meeting, The Business & Operations of ASCs.
HREA | Healthcare Real Estate Advisors and Realti Ventures is pleased to announce the real estate sale of a single-specialty medical office building portfolio located in Rock Hill, SC, Fort Mill, SC, and Lancaster, SC. The portfolio is 100% leased to Carolina Cardiology Associates (“CCA”) and consists of 25,258 square feet.
HREA | Healthcare Real Estate Advisors, along with Merritt Healthcare Advisors, title sponsored the PHA’s 23rd Leadership Summit at The Boulders Resort in Scottsdale, Arizona.
Discover how collaborative partnerships with investment banking and real estate experts can lead to optimal financial and non-financial M&A outcomes in our new white paper.