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Health Care Real Estate

The health care industry is undergoing tremendous change, driven by pressures to reduce cost, improve quality, and increase access. Health care entities are responding by dramatically transforming the use, size, character, and location of health care real estate. During this transformative phase, all the players in health care real estate – hospitals and hospital networks, physician groups, research institutes, developers, REITs, private investors, and lenders – will encounter issues such as federal and state regulatory regimes, special land use controls, specialized design and construction requirements, federal tax law limitations, tax-exempt financing, competitive use concerns, religious and ethical restrictions, and Stark and anti-kickback laws.

The health care real estate team at Davis Wright Tremaine consists of veteran real estate lawyers experienced in this unique class of real estate assets and deeply knowledgeable of the objectives and concerns of the owners, users, and funders of health care real estate. Our attorneys are skilled in all aspects of health care real estate, including:

  • Purchase, sale, development, and expansion of medical facilities
  • Leasing, subleasing, and the creative use of ground leasing
  • Joint ventures and other forms of co-ownership and equity investment
  • Project, conduit, tax-exempt, and mortgage financing
  • Land use entitlements and zoning
  • Design and construction
  • Environmental reviews
  • Sustainability and LEED certification

Our health care real estate team works closely with lawyers in our nationally prominent health care practice in order to serve health care clients on complex projects requiring a multi-disciplinary approach. For example, we have assisted clients in the development of new specialty care centers and hospital campus expansions. Attorney collaboration across practice groups ensures that our real estate lawyers stay on the cutting edge of industry and regulatory issues shaping the health care marketplace.

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