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Medical Office Investing
How medical office buildings perform as an asset class for Columbus, OH investors, and how medical office property fits within a one thousand thirty one exchange
Medical office buildings generally house healthcare providers such as physician practices, dental offices, outpatient clinics, and specialty medical groups, and are generally distinguished from traditional office space by more intensive building systems, including plumbing for exam rooms, backup power for certain procedures, and specialized ventilation requirements. Columbus, OH benefits from a large healthcare employment base anchored by major hospital systems and academic medical centers, which generally supports demand for medical office space both near hospital campuses and in suburban locations convenient to patient populations throughout Franklin County. Medical office tenants generally have higher build out costs than typical office tenants, which can result in longer average lease terms and higher tenant retention, since relocating a medical practice generally involves significant expense and disruption.
Medical office property held for investment or business use generally qualifies as like kind real property for a one thousand thirty one exchange, and Columbus, OH's strong healthcare sector has made medical office buildings an attractive replacement property option for investors seeking long term leases with relatively sticky tenants. Investors evaluating a medical office building generally review the tenant mix and whether any tenant is affiliated with or credit backed by a larger health system, the building's specialized infrastructure such as generator backup and medical gas lines, and proximity to hospital campuses or complementary medical uses. Because medical office buildings generally carry more specialized building systems than standard office space, Columbus, OH investors generally engage an inspector with medical office experience during due diligence before finalizing identification within the forty five day period.
What's Included
- Tenant mix and health system affiliation review
- Specialized building systems inspection including generator and medical gas lines
- Lease term and build out cost analysis
- Proximity review to hospital campuses and complementary medical uses
- Coordination with a Qualified Intermediary for exchange timing
- Replacement property criteria worksheet for medical office candidates
- Capital reserve planning for specialized system maintenance
- Referral to a tax advisor for exchange planning
Common Situations
Investor in Columbus, OH is evaluating a medical office building near a hospital campus as replacement property
Owner wants to confirm tenant health system affiliation before identifying a medical office candidate
Investor is comparing medical office property against standard office space for tenant retention benefits
Frequently Asked Questions
What distinguishes a medical office building from a traditional office building?
Medical office buildings generally include more intensive plumbing for exam rooms, specialized ventilation, and sometimes backup power or medical gas lines to support healthcare procedures, along with higher tenant build out costs compared to a typical office tenant, which generally results in longer average lease terms.
Does medical office property qualify as replacement property in a one thousand thirty one exchange?
Yes, medical office property held for investment or business use generally qualifies as like kind real property for a one thousand thirty one exchange, and Columbus, OH's strong healthcare employment base has made medical office buildings a common replacement property choice for exchanging investors.
Why do medical office tenants generally have higher retention than typical office tenants?
Medical office tenants generally invest significant capital in specialized build outs, including exam rooms and equipment installations, which makes relocating expensive and disruptive, generally resulting in longer lease terms and higher retention compared to standard office tenants.
What should an investor evaluate regarding tenant credit for a medical office building?
Investors generally review whether tenants are affiliated with or credit backed by a larger hospital system or health network, since tenant affiliation with a strong healthcare system can generally provide additional income stability compared to an independent single physician practice.
What specialized inspection considerations apply to medical office buildings?
Medical office buildings generally require inspection of specialized systems such as backup generators, medical gas lines, and enhanced plumbing and ventilation, so Columbus, OH investors generally engage an inspector with specific medical office experience rather than a general commercial inspector alone.
Example Engagement
Example of the type of engagement we can handle
Client Situation
An investor in Columbus, OH was exchanging out of a retail property and wanted to evaluate a medical office building near a major hospital campus given the tenant retention benefits of the asset class
Our Approach
We reviewed the tenant's affiliation with a regional health system, coordinated an inspection of the building's generator and medical gas line systems, and evaluated the lease term and build out history
Expected Outcome
Investor closed on the medical office building with a health system affiliated tenant in place and a clear understanding of specialized system maintenance needs
Educational content only. Educational content only. Not tax, legal, or investment advice.
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