SCOTTSDALE, AZ—The GlobeSt. Healthcare conference held at the Andaz Scottsdale Resort on Tuesday brought together a panel of healthcare real estate leaders under the theme "State of the Industry: Impacts of a Disruptive Year." The panel discussed the perceived threats of an impending recession and examined whether the fear of a downturn still holds a grip on the economy. The consensus among the panelists was that, contrary to concerns, a recession has not occurred, and they predict that there won't be one in 2024.

"As a professional in the healthcare real estate space, a recession doesn't significantly impact the demand for healthcare services. The healthcare sector has proven its resilience," said Darryl Freling, managing principal of MedProperties Realty Advisors LLC. 

According to Freling, the unique dynamics of the market during a recession helps healthcare real estate in terms of decreased interest rates which present opportunities. "In this upside-down world, interest rates decrease in a recessionary market, making deals more favorable so a recession isn't necessarily detrimental to the healthcare sector," he said.

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"We're currently seizing opportunities to acquire core assets at around 6%, and as interest rates drop, cap rates will follow suit," he added. "While closing deals is challenging due to tighter underwriting, we are making it happen."

Panelist Steven Reedy, managing director of First Citizens Bank, expressed optimism about stability in 2024, anticipating that bank spreads will remain steady. He acknowledged the unprecedented rise in interest rates over the past 18 months but highlighted recent easing. 

Reedy also emphasized that while the interest rate market has raised concerns for those with debt from a few years ago, it isn't catastrophic. He noted the occurrence of negative leverage and emphasized the importance of sponsor flexibility in managing debt.

David Lari, partner of Cox Castle, acknowledged that deals are still progressing but have become more complex. "We observe a lot of recalibration," he noted. "The duration of deals lasting three, four, or five months is on the rise. While there might be localized recessions, the global perspective suggests we aren't in a recession. San Francisco, for instance, appears to be facing challenges. The market is confounding because it's neither uniformly great nor uniformly bad."

For panelist Chris Bodnar, vice chairman of CBRE, he agreed that "If we want interest rates to decrease, a certain degree of market pain might lead to a more responsive Federal Reserve, creating a better lending environment." From a transactional standpoint, Bodnar highlighted the diversity in capital preferences, noting that core capital with aggressive cap rates is prevalent, but the lending market needs further development. He expressed hope that more lenders entering the space in 2024 would be beneficial.

Check back with GlobeSt.com for more from the healthcare conference and click the stories below for related stories you might have missed. 

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Natalie Dolce

Natalie Dolce, editor-in-chief of GlobeSt.com, is responsible for working with editorial staff, freelancers and senior management to help plan the overarching vision that encompasses GlobeSt.com, including short-term and long-term goals for the website, how content integrates through the company’s other product lines and the overall quality of content. Previously she served as national executive editor and editor of the West Coast region for GlobeSt.com and Real Estate Forum, and was responsible for coverage of news and information pertaining to that vital real estate region. Prior to moving out to the Southern California office, she was Northeast bureau chief, covering New York City for GlobeSt.com. Her background includes a stint at InStyle Magazine, and as managing editor with New York Press, an alternative weekly New York City paper. In her career, she has also covered a variety of beats for M magazine, Arthur Frommer's Budget Travel, FashionLedge.com, and Co-Ed magazine. Dolce has also freelanced for a number of publications, including MSNBC.com and Museums New York magazine.