Real Estate Valuation

Glass Medical Building-1HealthCare Appraisers’ team of real estate valuation experts brings years of experience and a thorough understanding of the business, financial, and legal issues surrounding healthcare real estate transactions.  HealthCare Appraisers approaches the valuation of healthcare real estate with acknowledgment of the unique context of healthcare operations, healthcare regulations and generally accepted valuation principles.  This results in HealthCare Appraisers’ valuation conclusions and reporting options being accepted and market transaction vetted industrywide for compliance purposes by both in-house and outside compliance attorneys.

HealthCare Appraisers takes the time to understand the real estate, business entity or intangible asset  being valued.  Our real estate valuation services include:

  • Fair Market Value Purchase Price Valuations & FMV Lease/Rental Rate Opinions – For large and/or complex real property transactions, a member of our real estate valuation team will conduct an on-site inspection as a key aspect of the valuation process.  This helps to ensure accuracy of the real estate involved, as well as providing an opportunity for interaction between Management/Ownership and HealthCare Appraisers succinctly understand the various aspects of the transaction.
  • “Desktop” Fair Market Value Opinions – Whether for a FMV lease opinion or purchase price valuation, HealthCare Appraisers can oftentimes complete an analysis without the need for an onsite inspection, thereby saving time and money.
  • Commercial Reasonableness Opinions (CRO) – Oftentimes, healthcare entities will enter into joint venture (JV) arrangements with real estate developers for new construction projects. Our team has experience in analyzing JV development agreements and can evaluate the commercial reasonableness of each component of the JV arrangement.  Other more nuanced arrangements might be entered into from time to time including: cross access agreements, swapping ingress/egress for a ROFR, early termination agreements, and a host of various other arrangements that warrant a CRO opinion that fall outside the scope of a traditional valuation, and HealthCare Appraisers has the experience and expertise to advise Client on similar unique transactions.


Our professionals have an in-depth understanding of the numerous types of healthcare facilities and a multitude of various compensation relationships between landlord and tenant.  This differentiates HealthCare Appraisers from the competition.  Many appraisers simply do not understand the interplay of healthcare operations and healthcare real estate, as well as the relevant value drivers, terminology, reporting metrics, etc.  

We provide real estate valuations and services for the following healthcare facilities:

- Acute care hospitals Ambulatory surgery centers (ASCs)
- Cancer centers - Community hospitals
- Diagnostic facilities - Laboratory and R&D facilities
- LTAC hospitals - Medical centers
- Medical office buildings (MOB) - Physician Practices
- Rural health clinics - Rehabilitation centers
- Teaching hospitals - Specialty hospitals


Our due diligence involves review of real estate-related documents, investigating the acuity level of the space, discussions with owners and business administrators, research of industry trends and local conditions affecting the market, and a thorough financial analysis of the facility as applicable.  Generally, financial analysis will include a review of lease documents, historical financial statements, a review of financial projections, capital expenditures and benchmarking to industry norms.