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HEALTHCARE

          MARKETBEAT
          WASHINGTON DC METRO REGION MEDICAL OFFICE REPORT



          A C&W HEALTHCARE REAL ESTATE GROUP PUBLICATION                                                 2 Q10

ECONOMIC SNAPSHOT                                                      The Association of American Medical Colleges, currently
                                                                       located at 2450 N Street NW, is looking for 250,000 SF to 300,000
The Healthcare Reform passed by Congress earlier this year will        SF of contiguous space to purchase for its headquarters
have a profound impact in both the short- and long-term for the        location.    Options in Virginia and Maryland are being
medical office market. Due to the provisions of the law that will      explored, in addition to sites in the District.
go into effect by the end of the third quarter, which expand
                                                                       In April, the National Cancer Institute signed a ten-year lease
coverage to millions of new patients, demand for medical office
                                                                       for 575,000 SF at the Shady Grove Life Sciences Center at a
space is expected to increase. As a result of this accelerated
                                                                       rate of $37.37 per square foot (psf).
demand for space and the lack of significant supply growth in
the near-term, a dip of more than 100 basis points is expected in      Advanced BioScience Laboratories signed a lease for 56,992
the national medical office vacancy rate to roughly 11% by the         SF at 9800 Medical Center Drive in Rockville and will vacate
end of 2011                                                            37,566 SF at Nicholson Lane in Kensington.

However, the law’s provisions that reduce government                                     OVERALL VACANCY RATES:
reimbursement could threaten the bottom lines of some medical                        MEDICAL VS. GENERAL OFFICE SPACE
practices, which could restrain growth and limit demand in the                             MOB Vacancy       General Office Vacancy
medical office sector in the long-term.
                                                                             14.0%
PHYSICIANS’ & MEDICAL TENANTS’ PERSPECTIVE
                                                                             12.0%

                “The Operating Cost Challenge”
                                                                             10.0%

Medical practice professionals discussed their biggest daily
                                                                              8.0%
challenges in a new survey released by the Medical Group
Practice Management Association. According to the survey,                     6.0%
entitled “Medical Practice Today: What Members Have to Say,”
dealing with rising operating costs was identified as the biggest             4.0%
daily challenge facing medical practices in 2010.                                      2Q 06   2Q07       2Q08    2Q09       2Q10

Real estate related costs often rank as the second largest
operating expense for medical practices, behind labor costs. As
such, medical practices are electing to take a hard look at their    OWNERS’ PERSPECTIVE
real estate to identify and take advantage of savings that may
exist but currently go unnoticed.                                                              “A Solid Investment”

Furthermore, due to Congress’ failure to permanently address         Medical office buildings (MOBs) remain a preferred investment
the flawed sustainable growth rate formula, the number two           option across the county. MOBs continue to attract the attention
challenge cited in the survey was “maintaining finances with the     of private buyers and large Real Estate Investment Trusts (REITs)
uncertainty of Medicare reimbursement rates.” Again, this is an      alike. Nationally, due to their limited supply, the highest quality
area where addressing excessive real estate costs could              assets in primary markets like Washington, DC are trading at low-
alleviate some of the pressure placed on a medical practice’s        to mid-7 percent cap rates, while cap rates in secondary and
bottom line.                                                         tertiary markets begin in the mid-8 percent range.

A Lease Audit by a medical real estate professional is a simple,                      “What’s happening in the Market?”
cost free way to determine if real estate related expenses may         Lillibridge Healthcare Services, Inc., a healthcare real estate
be reduced.                                                            firm, entered into an agreement with Ventas, Inc. Under the
               “What’s happening in the Market?”                       terms of the agreement, Ventas will acquire all of Lillibridge’s
                                                                       real estate holdings, including Providence Hospital (1140
  Surescripts, a company that gives healthcare providers               Varnum Street NE) and the DePaul Professional Building (1160
  electronic access to patients’ prescription information, signed      Varnum Street NE).
  a five-year lease for 19,065 square feet (SF) at Potomac
  Gateway North in Crystal City.                                       The Chalmers Property Company sold a portfolio of two office
                                                                       buildings located at 3803 and 3801 N Fairfax Dr, in Arlington,
  The Dept. of Health and Human Services leased 185,120 SF at          Virginia, one of which was a medical office building.
  370 L’Enfant Plaza SW for five years at a rate of $46.00 psf. In     Collectively known as Virginia Square Plaza, the buildings were
  addition, the Dept. signed a renewal/expansion of their space        purchased for $20,600,000 or $294.22 psf by Gazit USA. The
  at 899 N Capitol Street NE for 150,000 SF, expected to               buildings, totaling 70,015 SF, sit on 1.96 acres situated across
  commence in early 2011.                                              from the Virginia Square Metro Station.
HEALTHCARE

                          MARKETBEAT
                          WASHINGTON DC METRO REGION MEDICAL OFFICE REPORT                                                                                                                                                                                2 Q1 0


   MOB MARKET STATISTICS


                                                                                                                                                                                OVERALL                                        DIRECT                DIRECT WTD. AVG.
                                                                                                 TOTAL                                    NO. OF                                VACANCY                                       VACANCY                 GROSS RENTAL
     MARKET                                                                                    INVENTORY                                  BLDGS.                                  RATE                                          RATE                      RATE*
     Alexandria/Arlington/Fairfax Counties                                                    2,924,050                                      60                                    9.5%                                        9.0%                      $33.87
     Loudoun County                                                                             556,147                                      13                                   34.2%                                       28.6%                      $30.71
     Prince William County                                                                      484,571                                      12                                   17.3%                                       17.3%                      $22.04
     Nothern Virginia                                                                         3,964,768                                      85                                   13.9%                                       12.8%                      $31.53
     Montgomery County                                                                        4,111,195                                      67                                   7.5%                                         6.7%                      $30.37
     Prince George's County                                                                    870,342                                       22                                   10.7%                                       10.7%                      $22.42
     Suburban Maryland                                                                        4,981,537                                      89                                    8.1%                                        7.4%                      $28.67
     Washington DC                                                                            1,593,246                                      23                                    5.9%                                        5.6%                      $40.25
     WASHINGTON DC METRO AREA TOTAL                                                          10,539,551                                     197                                    9.9%                                        9.1%                      $31.44


   In a continuation of first quarter trends, the Washington, DC Metro Region performed better than the rest of the nation in the 2nd Quarter
   2010. Midway through the year, the direct vacancy rate for medical office space in the region stood at 9.1%, compared with a national
   direct vacancy rate of roughly 12%. Regionally, the average rental rate increased slightly from $30.86 psf to $31.44 psf for medical office
   space.


                                                                                            WASHINGTON DC METRO REGION


         DIRECT RENTAL RATE COMPARISON                                                                   MOB INVESTMENT MARKET                                                                     OVERALL VACANCY RATE COMPARISON
                                                                                                (Washington, DC & Baltimore Regions)

               Northern Virginia      Suburban Maryland          Washington, DC                                          US       Washington/Baltimore Region
                                                                                                                                                                                                                          Northern Virginia              Suburban Maryland

         $40.00                                                                                                                                                                                                           Washington, DC
         $35.00                                                                                                                   $64.1
         $30.00                                                                                                                                                                                       12.0%
psf/yr




         $25.00
         $20.00                                                                                                                                                                                         8.0%
         $15.00
         $10.00                                                                                                                                                                                         4.0%
          $5.00
          $0.00                                                                                                                                                                                         0.0%
                      2Q06         2Q07         2Q08         2Q09         2Q10                                                                   $1,411.9                                                              2Q06        2Q07       2Q08      2Q09      2Q10




• The direct rental rate in Northern Virginia                                                 • The Washington, DC & Baltimore                                                                    • Although the medical office space vacancy
  increased to $31.53 psf from $28.24 psf a year                                                Regions’ MOB Investment Market                                                                      rate for Washington, DC climbed from 5.6% to
  ago. While this number remains relatively                                                     accounted for 4.5% of total MOB sales                                                               5.9% this quarter, the District still boasts the
  unchanged from the first quarter 2010, it shot                                                for the United States in the first half of                                                          lowest vacancy rate in the region.
  above the average rate in Suburban                                                            2010.
                                                                                                                                                                                                  • The medical office market in Suburban
  Maryland for the first time since 2008.
                                                                                              • $64.1 million dollars in the aggregate                                                              Maryland continued to fare well in the
• Not surprisingly, the District saw the highest                                                traded hands in six transactions since                                                              second quarter. Vacancies saw a slight
  direct rental rates, averaging $40.25 psf for                                                 the beginning of the year.                                                                          increase to 8.1% from 7.8% in the first quarter.
  the quarter. This is up $0.93 year-over-year.                                                                                                                                                     While this remains higher than the
                                                                                              • The average sales price in the US for
                                                                                                                                                                                                    Washington, DC vacancy rate, it is still well
• The average rate for medical space in                                                         medical office space for the first half
                                                                                                                                                                                                    below Northern Virginia.
  Suburban Maryland was $28.87 psf, down                                                        of 2010 was approximately $241 psf,
  $0.89 from the same time last year, but was                                                   compared with a regional average of                                                               • Northern Virginia again saw the highest
  up $0.78 from the first quarter of 2010.                                                      $189 psf.                                                                                           vacancy rates for the quarter, sitting at 13.9%,
                                                                                                                                                                                                    up 60 basis points from the first quarter.

                                                                                              *National sale data provided by REAL Capital Analytics



         For healthcare market intelligence to support your real estate          *Market terms & definitions based on BOMA and NAIOP standards.
                                                                                 This report contains information available to the public and has been relied upon by Cushman & Wakefield on the basis that it is
         and business decisions, go to www.cushwakehealth.com                    accurate and complete. Cushman & Wakefield accepts no responsibility if this should prove not to be the case. No warranty or
         Cushman & Wakefield, Inc.                                               representation, express or implied, is made to the accuracy or completeness of the information contained herein, and same is
         1600 Tysons Boulevard, McLean, VA 22102                                 submitted subject to errors, omissions, change of price, rental or other conditions, withdrawal without notice, and to any special listing
                                                                                 conditions imposed by our principals.
         (703)-847-2764
                                                                                 Copyright © 2010 Cushman & Wakefield, Inc. All rights reserved.

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Washington DC 2Q2010 Medical Office Report

  • 1. HEALTHCARE MARKETBEAT WASHINGTON DC METRO REGION MEDICAL OFFICE REPORT A C&W HEALTHCARE REAL ESTATE GROUP PUBLICATION 2 Q10 ECONOMIC SNAPSHOT The Association of American Medical Colleges, currently located at 2450 N Street NW, is looking for 250,000 SF to 300,000 The Healthcare Reform passed by Congress earlier this year will SF of contiguous space to purchase for its headquarters have a profound impact in both the short- and long-term for the location. Options in Virginia and Maryland are being medical office market. Due to the provisions of the law that will explored, in addition to sites in the District. go into effect by the end of the third quarter, which expand In April, the National Cancer Institute signed a ten-year lease coverage to millions of new patients, demand for medical office for 575,000 SF at the Shady Grove Life Sciences Center at a space is expected to increase. As a result of this accelerated rate of $37.37 per square foot (psf). demand for space and the lack of significant supply growth in the near-term, a dip of more than 100 basis points is expected in Advanced BioScience Laboratories signed a lease for 56,992 the national medical office vacancy rate to roughly 11% by the SF at 9800 Medical Center Drive in Rockville and will vacate end of 2011 37,566 SF at Nicholson Lane in Kensington. However, the law’s provisions that reduce government OVERALL VACANCY RATES: reimbursement could threaten the bottom lines of some medical MEDICAL VS. GENERAL OFFICE SPACE practices, which could restrain growth and limit demand in the MOB Vacancy General Office Vacancy medical office sector in the long-term. 14.0% PHYSICIANS’ & MEDICAL TENANTS’ PERSPECTIVE 12.0% “The Operating Cost Challenge” 10.0% Medical practice professionals discussed their biggest daily 8.0% challenges in a new survey released by the Medical Group Practice Management Association. According to the survey, 6.0% entitled “Medical Practice Today: What Members Have to Say,” dealing with rising operating costs was identified as the biggest 4.0% daily challenge facing medical practices in 2010. 2Q 06 2Q07 2Q08 2Q09 2Q10 Real estate related costs often rank as the second largest operating expense for medical practices, behind labor costs. As such, medical practices are electing to take a hard look at their OWNERS’ PERSPECTIVE real estate to identify and take advantage of savings that may exist but currently go unnoticed. “A Solid Investment” Furthermore, due to Congress’ failure to permanently address Medical office buildings (MOBs) remain a preferred investment the flawed sustainable growth rate formula, the number two option across the county. MOBs continue to attract the attention challenge cited in the survey was “maintaining finances with the of private buyers and large Real Estate Investment Trusts (REITs) uncertainty of Medicare reimbursement rates.” Again, this is an alike. Nationally, due to their limited supply, the highest quality area where addressing excessive real estate costs could assets in primary markets like Washington, DC are trading at low- alleviate some of the pressure placed on a medical practice’s to mid-7 percent cap rates, while cap rates in secondary and bottom line. tertiary markets begin in the mid-8 percent range. A Lease Audit by a medical real estate professional is a simple, “What’s happening in the Market?” cost free way to determine if real estate related expenses may Lillibridge Healthcare Services, Inc., a healthcare real estate be reduced. firm, entered into an agreement with Ventas, Inc. Under the “What’s happening in the Market?” terms of the agreement, Ventas will acquire all of Lillibridge’s real estate holdings, including Providence Hospital (1140 Surescripts, a company that gives healthcare providers Varnum Street NE) and the DePaul Professional Building (1160 electronic access to patients’ prescription information, signed Varnum Street NE). a five-year lease for 19,065 square feet (SF) at Potomac Gateway North in Crystal City. The Chalmers Property Company sold a portfolio of two office buildings located at 3803 and 3801 N Fairfax Dr, in Arlington, The Dept. of Health and Human Services leased 185,120 SF at Virginia, one of which was a medical office building. 370 L’Enfant Plaza SW for five years at a rate of $46.00 psf. In Collectively known as Virginia Square Plaza, the buildings were addition, the Dept. signed a renewal/expansion of their space purchased for $20,600,000 or $294.22 psf by Gazit USA. The at 899 N Capitol Street NE for 150,000 SF, expected to buildings, totaling 70,015 SF, sit on 1.96 acres situated across commence in early 2011. from the Virginia Square Metro Station.
  • 2. HEALTHCARE MARKETBEAT WASHINGTON DC METRO REGION MEDICAL OFFICE REPORT 2 Q1 0 MOB MARKET STATISTICS OVERALL DIRECT DIRECT WTD. AVG. TOTAL NO. OF VACANCY VACANCY GROSS RENTAL MARKET INVENTORY BLDGS. RATE RATE RATE* Alexandria/Arlington/Fairfax Counties 2,924,050 60 9.5% 9.0% $33.87 Loudoun County 556,147 13 34.2% 28.6% $30.71 Prince William County 484,571 12 17.3% 17.3% $22.04 Nothern Virginia 3,964,768 85 13.9% 12.8% $31.53 Montgomery County 4,111,195 67 7.5% 6.7% $30.37 Prince George's County 870,342 22 10.7% 10.7% $22.42 Suburban Maryland 4,981,537 89 8.1% 7.4% $28.67 Washington DC 1,593,246 23 5.9% 5.6% $40.25 WASHINGTON DC METRO AREA TOTAL 10,539,551 197 9.9% 9.1% $31.44 In a continuation of first quarter trends, the Washington, DC Metro Region performed better than the rest of the nation in the 2nd Quarter 2010. Midway through the year, the direct vacancy rate for medical office space in the region stood at 9.1%, compared with a national direct vacancy rate of roughly 12%. Regionally, the average rental rate increased slightly from $30.86 psf to $31.44 psf for medical office space. WASHINGTON DC METRO REGION DIRECT RENTAL RATE COMPARISON MOB INVESTMENT MARKET OVERALL VACANCY RATE COMPARISON (Washington, DC & Baltimore Regions) Northern Virginia Suburban Maryland Washington, DC US Washington/Baltimore Region Northern Virginia Suburban Maryland $40.00 Washington, DC $35.00 $64.1 $30.00 12.0% psf/yr $25.00 $20.00 8.0% $15.00 $10.00 4.0% $5.00 $0.00 0.0% 2Q06 2Q07 2Q08 2Q09 2Q10 $1,411.9 2Q06 2Q07 2Q08 2Q09 2Q10 • The direct rental rate in Northern Virginia • The Washington, DC & Baltimore • Although the medical office space vacancy increased to $31.53 psf from $28.24 psf a year Regions’ MOB Investment Market rate for Washington, DC climbed from 5.6% to ago. While this number remains relatively accounted for 4.5% of total MOB sales 5.9% this quarter, the District still boasts the unchanged from the first quarter 2010, it shot for the United States in the first half of lowest vacancy rate in the region. above the average rate in Suburban 2010. • The medical office market in Suburban Maryland for the first time since 2008. • $64.1 million dollars in the aggregate Maryland continued to fare well in the • Not surprisingly, the District saw the highest traded hands in six transactions since second quarter. Vacancies saw a slight direct rental rates, averaging $40.25 psf for the beginning of the year. increase to 8.1% from 7.8% in the first quarter. the quarter. This is up $0.93 year-over-year. While this remains higher than the • The average sales price in the US for Washington, DC vacancy rate, it is still well • The average rate for medical space in medical office space for the first half below Northern Virginia. Suburban Maryland was $28.87 psf, down of 2010 was approximately $241 psf, $0.89 from the same time last year, but was compared with a regional average of • Northern Virginia again saw the highest up $0.78 from the first quarter of 2010. $189 psf. vacancy rates for the quarter, sitting at 13.9%, up 60 basis points from the first quarter. *National sale data provided by REAL Capital Analytics For healthcare market intelligence to support your real estate *Market terms & definitions based on BOMA and NAIOP standards. This report contains information available to the public and has been relied upon by Cushman & Wakefield on the basis that it is and business decisions, go to www.cushwakehealth.com accurate and complete. Cushman & Wakefield accepts no responsibility if this should prove not to be the case. No warranty or Cushman & Wakefield, Inc. representation, express or implied, is made to the accuracy or completeness of the information contained herein, and same is 1600 Tysons Boulevard, McLean, VA 22102 submitted subject to errors, omissions, change of price, rental or other conditions, withdrawal without notice, and to any special listing conditions imposed by our principals. (703)-847-2764 Copyright © 2010 Cushman & Wakefield, Inc. All rights reserved.