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HEALTHCARE

          MARKETBEAT
          WASHINGTON DC METRO REGION MEDICAL OFFICE REPORT



          A C&W HEALTHCARE REAL ESTATE GROUP PUBLICATION                                                1 Q10



ECONOMIC SNAPSHOT                                                    PHYSICIANS & MEDICAL TENANTS PERSPECTIVE

With the passage of the Healthcare overhaul now a reality,                            “What’s happening in the Market?”
healthcare and real estate professionals alike are weighing in         Children’s Hospital signed a lease for 18,000 square feet at
on how the law will affect the medical real estate market.             Merrifield Town Center Medical Campus in Merrifield, Va.

There is one school of thought that suggests healthcare                MedStar Health, a non-profit healthcare organization that
investors across the country, in particular large Real Estate          serves the DC and Baltimore regions, signed a 7-year lease
Investment Trusts (REITs), have recapitalized and are                  for 10,286 square feet at 2000 N 15th Street, Arlington, Va.
aggressively looking for quality, on-campus, medical office            CPS Healthcare, a provider of healthcare IT services, signed a
products to purchase. However, this raises a question: is there        10-year lease for just under 12,500 square feet at 1401 Wilson
enough product to satisfy demand? We tend to think not and             Boulevard in Arlington, Va.
note that investors have begun looking for product outside their
typical investment criteria.                                           The National Cancer Institute pre-leased 575,000 square feet
                                                                       in two 7-story buildings at the proposed Life Sciences Center
However, in light of the cuts this legislation makes to                in North Rockville, Md. Developer JBG will break ground on
government reimbursement, physicians and hospitals alike are           the project in the third quarter of 2010.
going to be faced with the challenge of reigning in costs while
                                                                     OVERALL VACANCY RATES: MEDICAL VS. GENERAL OFFICE
reaching to meet the demand created by the influx of insured
patients.                                                                                  MOB Vacancy          General Office Vacancy


OWNERS PERSPECTIVE                                                            14.0%

                                                                              12.0%
              “What’s happening in the Market?”
  In February, Inova Health Care Services purchased 2990                      10.0%

  Telestar Ct in Merrifield, Va., from Monday Properties for
                                                                               8.0%
  $10,000,000 or about $119 per square foot.
                                                                               6.0%
  As part of a $2 billion expansion in the DC metropolitan area,
  Kaiser Permanente has purchased the Russell Building at 8008                 4.0%
  Westpark Drive in McLean, Va. Kaiser plans to house primary                          1Q 06     1Q07     1Q08       1Q09       1Q10
  and specialty care doctors, laboratory space, and
  pharmacy services at the site. The building’s renovation is          The medical office vacancy rate for the Washington, DC
  projected to be completed mid-2012.                                  region in the first quarter was 9.5% and continued to remain
                    “Is now the time to sell?”                         well below the 13.8% vacancy rate for general office space,
                                                                       mirroring nationwide trends.
A well-positioned asset in the Washington, DC market will draw
the attention of the larger national players, in addition to local                             “Prepare for Change”
and regional investors.                                              Physicians will need to identify and take advantage of cost
Moreover, given the recent healthcare law’s reduced                  saving efficiencies within their existing practice structure to help
reimbursement for in-patient treatment vs. outpatient, a great       compensate for potential loss in reimbursements. Physicians
deal of emphasis will be place on outpatient or ambulatory           may want to consider and seek answers to the following:
care vs. hospital stays. Owners may want to consider and seek          How does the rental rate our practice is paying compare to
answers to the following questions:                                    the rest of the market?
  What is the value of my asset in today’s market?                     Have we been able to take advantage of spatial efficiencies
  Can any changes be made to my asset or tenant roster that            in order to decrease our overhead costs?
  will increase its value?                                             Do we have a strategy in place to lower our rent expense?
  Would this be the most opportune time to put my asset on
  the market?
HEALTHCARE

                    MARKETBEAT
                    WASHINGTON DC METRO REGION MEDICAL OFFICE REPORT                                                                                                                                                                              1 Q10

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                                                      2,926,189                                   60                                    9.0%                                         8.4%                   $33.97
Loudoun County                                                                                   556,147                               13                                   32.1%                                       28.6%                    $30.96
Prince William County                                                                            484,571                               12                                   16.9%                                       16.9%                    $21.93
Nothern Virginia                                                                           3,966,907                                   85                                   13.3%                                       12.3%                    $31.52
Montgomery County                                                                          4,111,195                                   67                                   7.0%                                         6.3%                    $29.75
Prince George's County                                                                      874,725                                    22                                   11.6%                                       11.4%                    $22.26
Suburban Maryland                                                                          4,985,920                                   89                                    7.8%                                         7.2%                   $27.94
Washington DC                                                                              1,593,246                                   23                                    5.6%                                         5.3%                   $40.46
WASHINGTON DC METRO AREA TOTAL                                                          10,546,073                                    197                                    9.5%                                         8.8%                   $30.86


The MOB market in the Washington, DC Metro Region continued to fare relatively well compared to the rest of the nation in the first
quarter. The direct vacancy rate for medical office space in the U.S. stood at approximately 13% during the first quarter according to
CoStar data, versus an overall medical office vacancy rate of 9.5% for the DC metro area.


                    NORTHERN VIRGINIA                                                                       WASHINGTON DC                                                                                         SUBURBAN MARYLAND


         DIRECT RENTAL VS. OVERALL                                                               DIRECT RENTAL VS. OVERALL                                                                                  DIRECT RENTAL VS. OVERALL
                 VACANCY                                                                                 VACANCY                                                                                                    VACANCY
                                  Rent            Vacancy                                                                      Rent                 Vacancy                                                                       Rent      Vacancy

              $33                                                  15.0%                         $47                                                                       8.0%                             $33                                           10.0%

                                                                                                 $40                                                                       7.0%
                                                                   13.0%                                                                                                                                                                                  9. 0%
              $26                                                                                                                                                                                           $26
                                                                                                 $33                                                                       6.0%
                                                                   11.0%                                                                                                                                                                                  8. 0%
     psf/yr




                                                                                       psf /yr




                                                                                                                                                                                                  psf /yr




              $19                                                                                $26                                                                       5.0%                             $19
                                                                   9.0%                                                                                                                                                                                   7. 0%
                                                                                                 $19                                                                       4.0%
              $12                                                                                                                                                                                           $12
                                                                   7.0%                          $12                                                                       3.0%                                                                           6. 0%

              $5                                                   5.0%                           $5                                                                       2.0%                              $5                                           5. 0%
                    1Q06   1Q07       1Q08    1Q09      1Q10                                            1Q06         1Q07          1Q08         1Q09         1Q10                                                  1Q06    1Q07    1Q08   1Q09   1Q10



    • Northern Virginia saw the highest                                            • Sitting at just 5.6%, Washington, DC                                                                    • The medical office market in Suburban
      medical office vacancy rate in the                                             boasts the lowest medical office space                                                                    Maryland weathered the recession quite
      region at 13.3%, due in part to the                                            vacancy rate in the region, thanks to                                                                     well. Despite some fluctuation in rental
      delivery of several new MOBs over the                                          sustained demand for medical services                                                                     rates, vacancies were on a downward
      last two years in Loudoun County,                                              as a result of the continued expansion of                                                                 path through 2008, however, 2009 saw a
      which continue to remain virtually                                             the federal government and an aging                                                                       10 basis point increase in vacancy rates
      empty. However, a vacancy rate of                                              population.                                                                                               to 7.8%. While slightly higher than
      9.0% in the Alexandria/                                                                                                                                                                  Washington, DC’s vacancy rate, this rate
                                                                                   • Rental rates for medical office space in
      Arlington/Fairfax County market sits                                                                                                                                                     remains well below Northern Virginia and
                                                                                     the District increased slightly in the first
      below the regional average.                                                                                                                                                              the nation as a whole.
                                                                                     quarter to $40.46 psf from $40.17 psf.
    • Despite a slight rise in vacancies, the                                                                                                                                                • The first quarter saw a decrease in direct
      direct rental rate in Northern Virginia                                                                                                                                                  rental rates for medical space in
      has increased to $31.52 psf from $28.91                                                                                                                                                  Suburban Maryland from a year ago,
      psf a year ago.                                                                                                                                                                          falling to $28.09 psf from $29.45 psf.




*Full-service rental rates (psf/yr)           **Alliance Market

  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 © 2009 Cushman & Wakefield, Inc. All rights reserved.

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Washington DC 1 Q10 Medical Office Report

  • 1. HEALTHCARE MARKETBEAT WASHINGTON DC METRO REGION MEDICAL OFFICE REPORT A C&W HEALTHCARE REAL ESTATE GROUP PUBLICATION 1 Q10 ECONOMIC SNAPSHOT PHYSICIANS & MEDICAL TENANTS PERSPECTIVE With the passage of the Healthcare overhaul now a reality, “What’s happening in the Market?” healthcare and real estate professionals alike are weighing in Children’s Hospital signed a lease for 18,000 square feet at on how the law will affect the medical real estate market. Merrifield Town Center Medical Campus in Merrifield, Va. There is one school of thought that suggests healthcare MedStar Health, a non-profit healthcare organization that investors across the country, in particular large Real Estate serves the DC and Baltimore regions, signed a 7-year lease Investment Trusts (REITs), have recapitalized and are for 10,286 square feet at 2000 N 15th Street, Arlington, Va. aggressively looking for quality, on-campus, medical office CPS Healthcare, a provider of healthcare IT services, signed a products to purchase. However, this raises a question: is there 10-year lease for just under 12,500 square feet at 1401 Wilson enough product to satisfy demand? We tend to think not and Boulevard in Arlington, Va. note that investors have begun looking for product outside their typical investment criteria. The National Cancer Institute pre-leased 575,000 square feet in two 7-story buildings at the proposed Life Sciences Center However, in light of the cuts this legislation makes to in North Rockville, Md. Developer JBG will break ground on government reimbursement, physicians and hospitals alike are the project in the third quarter of 2010. going to be faced with the challenge of reigning in costs while OVERALL VACANCY RATES: MEDICAL VS. GENERAL OFFICE reaching to meet the demand created by the influx of insured patients. MOB Vacancy General Office Vacancy OWNERS PERSPECTIVE 14.0% 12.0% “What’s happening in the Market?” In February, Inova Health Care Services purchased 2990 10.0% Telestar Ct in Merrifield, Va., from Monday Properties for 8.0% $10,000,000 or about $119 per square foot. 6.0% As part of a $2 billion expansion in the DC metropolitan area, Kaiser Permanente has purchased the Russell Building at 8008 4.0% Westpark Drive in McLean, Va. Kaiser plans to house primary 1Q 06 1Q07 1Q08 1Q09 1Q10 and specialty care doctors, laboratory space, and pharmacy services at the site. The building’s renovation is The medical office vacancy rate for the Washington, DC projected to be completed mid-2012. region in the first quarter was 9.5% and continued to remain “Is now the time to sell?” well below the 13.8% vacancy rate for general office space, mirroring nationwide trends. A well-positioned asset in the Washington, DC market will draw the attention of the larger national players, in addition to local “Prepare for Change” and regional investors. Physicians will need to identify and take advantage of cost Moreover, given the recent healthcare law’s reduced saving efficiencies within their existing practice structure to help reimbursement for in-patient treatment vs. outpatient, a great compensate for potential loss in reimbursements. Physicians deal of emphasis will be place on outpatient or ambulatory may want to consider and seek answers to the following: care vs. hospital stays. Owners may want to consider and seek How does the rental rate our practice is paying compare to answers to the following questions: the rest of the market? What is the value of my asset in today’s market? Have we been able to take advantage of spatial efficiencies Can any changes be made to my asset or tenant roster that in order to decrease our overhead costs? will increase its value? Do we have a strategy in place to lower our rent expense? Would this be the most opportune time to put my asset on the market?
  • 2. HEALTHCARE MARKETBEAT WASHINGTON DC METRO REGION MEDICAL OFFICE REPORT 1 Q10 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 2,926,189 60 9.0% 8.4% $33.97 Loudoun County 556,147 13 32.1% 28.6% $30.96 Prince William County 484,571 12 16.9% 16.9% $21.93 Nothern Virginia 3,966,907 85 13.3% 12.3% $31.52 Montgomery County 4,111,195 67 7.0% 6.3% $29.75 Prince George's County 874,725 22 11.6% 11.4% $22.26 Suburban Maryland 4,985,920 89 7.8% 7.2% $27.94 Washington DC 1,593,246 23 5.6% 5.3% $40.46 WASHINGTON DC METRO AREA TOTAL 10,546,073 197 9.5% 8.8% $30.86 The MOB market in the Washington, DC Metro Region continued to fare relatively well compared to the rest of the nation in the first quarter. The direct vacancy rate for medical office space in the U.S. stood at approximately 13% during the first quarter according to CoStar data, versus an overall medical office vacancy rate of 9.5% for the DC metro area. NORTHERN VIRGINIA WASHINGTON DC SUBURBAN MARYLAND DIRECT RENTAL VS. OVERALL DIRECT RENTAL VS. OVERALL DIRECT RENTAL VS. OVERALL VACANCY VACANCY VACANCY Rent Vacancy Rent Vacancy Rent Vacancy $33 15.0% $47 8.0% $33 10.0% $40 7.0% 13.0% 9. 0% $26 $26 $33 6.0% 11.0% 8. 0% psf/yr psf /yr psf /yr $19 $26 5.0% $19 9.0% 7. 0% $19 4.0% $12 $12 7.0% $12 3.0% 6. 0% $5 5.0% $5 2.0% $5 5. 0% 1Q06 1Q07 1Q08 1Q09 1Q10 1Q06 1Q07 1Q08 1Q09 1Q10 1Q06 1Q07 1Q08 1Q09 1Q10 • Northern Virginia saw the highest • Sitting at just 5.6%, Washington, DC • The medical office market in Suburban medical office vacancy rate in the boasts the lowest medical office space Maryland weathered the recession quite region at 13.3%, due in part to the vacancy rate in the region, thanks to well. Despite some fluctuation in rental delivery of several new MOBs over the sustained demand for medical services rates, vacancies were on a downward last two years in Loudoun County, as a result of the continued expansion of path through 2008, however, 2009 saw a which continue to remain virtually the federal government and an aging 10 basis point increase in vacancy rates empty. However, a vacancy rate of population. to 7.8%. While slightly higher than 9.0% in the Alexandria/ Washington, DC’s vacancy rate, this rate • Rental rates for medical office space in Arlington/Fairfax County market sits remains well below Northern Virginia and the District increased slightly in the first below the regional average. the nation as a whole. quarter to $40.46 psf from $40.17 psf. • Despite a slight rise in vacancies, the • The first quarter saw a decrease in direct direct rental rate in Northern Virginia rental rates for medical space in has increased to $31.52 psf from $28.91 Suburban Maryland from a year ago, psf a year ago. falling to $28.09 psf from $29.45 psf. *Full-service rental rates (psf/yr) **Alliance Market 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 © 2009 Cushman & Wakefield, Inc. All rights reserved.