Weekly Health Care Real Estate Briefing: Hospital Bond Issues Down 57% | CMS Increases Payments to SNFs | New Podcast on Timeshare Arrangements | MN Hospital Deploys 24 Robots


  1. In its latest capital markets update, H2C noted that July nonprofit hospital bond issuance was down 57% year-over-year and down 52% year-to-date (compared to January through June 2022).
  2. CMS issued a final rule that will increase payments to SNFs by 4%, or $1.4B, starting in 2024. CMS described the increase as a “parity adjustment recalibration,” noting that it had previously overestimated overpayments to nursing homes, which resulted in an unintended reduction in reimbursement in 2023.
  3. Hall Render’s Joel Swider was recently featured on the American Health Law Association’s podcast discussing regulatory issues surrounding timeshare and space-sharing arrangements between physicians and hospitals.
  4. Becker’s published a roundup of 10 trends shaping ASC strategy, including a prediction that the ASC market will continue to consolidate as costs increase faster than reimbursement. The piece noted that some of the staffing and labor pressures have cooled since the pandemic, as ASCs can offer a more attractive work-life balance to providers than some traditional hospital settings.
  5. Essentia Health (Duluth, MN) held a ribbon-cutting ceremony to celebrate the opening of its $900 million replacement hospital in Duluth. The 18-story facility includes 344 patient rooms and will use 24 robots for clean linen, food delivery and garbage collection throughout the building.
  6. Marshfield Clinic Health System is suing the City of Eau Claire, WI to seek property tax exemption for its large hospital and clinic campus. Currently, the health system pays about $1.1 million in local property taxes for its facility, but the lawsuit argues for a full refund of 2022 taxes and to declare the property tax-exempt.
  7. According to a recent earnings call, UHS is planning to open 4 hospitals over the next 2 years, including facilities in Las Vegas, Washington, DC, Palm Beach Gardens and West Michigan. UHS’s acute care Q2 service revenue was up 9.7% year over year, and its total revenue increased 6.8%.
  8. Christ Hospital (Cincinnati, OH) registered as a lobbyist with the Kentucky legislature in order to lobby for CON “modernization” initiatives. The hospital was part of a high-profile ASC CON denial in 2018, which it described as a setback for patients.
  9. A recent study by the University of Texas at San Antonio has pegged the economic impact of the South Texas Medical Center, a medical district in northwest San Antonio, at $10.5B. City and county property tax revenue has grown by $20M over the past 4 years, and the total number of jobs in the district has grown to 71,500.
  10. Margaret Mary Health announced plans for a new 124,000-sf replacement hospital in Batesville, Indiana (between Indianapolis and Cincinnati). The initial phase of the project will cost $115M and is slated to begin in spring 2024.

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Hall Render blog posts and articles are intended for informational purposes only. For ethical reasons, Hall Render attorneys cannot give legal advice outside of an attorney-client relationship.

The post Weekly Health Care Real Estate Briefing: Hospital Bond Issues Down 57% | CMS Increases Payments to SNFs | New Podcast on Timeshare Arrangements | MN Hospital Deploys 24 Robots appeared first on Law Firm | Health Care Law Firm in the USA | Hall Render.

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