Healthcare & Real Estate 2014
April 8, 2014 | McGraw Hill Executive Suite, Midtown Manhattan
7:00-8:00 Registration, Networking & Breakfast
8:00-8:05 Opening Remarks
8:05-8:30 Healthcare Real Estate Market Overview: Analysis of Market Fundamentals & Investment Sales Volume around the Nation
* Murray Wolf, Publisher, Healthcare Real Estate Insights
Murray W. Wolf is Managing Principal of Wolf Marketing & Media, and Publisher and Founding Editor of Healthcare Real Estate Insights™. Mr. Wolf is an experienced marketing executive and an award-winning journalist with more than a quarter-century of marketing, communications and publishing experience, almost exclusively in the commercial real estate industry. Wolf Marketing & Media specializes in information and marketing services for previously under-served niches of the commercial real estate industry, publishing Healthcare Real Estate Insights™, Bioscience Real Estate Insights™, HREI™ Executive Briefing™ and the HREI™ Resource Guide™.
8:30-9:20 Healthcare Real Estate 20/20: The New and Changing Delivery of Healthcare and its Impact on Current and Future Investment, Development & Financing Strategies
* Analysis of investment and development trends in New York, New Jersey and around the nation
* Analysis of value and demand drivers in the various healthcare real estate assets (hospitals, medial office buildings and research facilities)
* Urgent care centers update: Are they here to stay?
* Is the private practice of medicine going the way of the dinosaur? Who will survive and who may become extinct?
* How will the delivery of services continue to be impacted under reform? And, how are Tri-State executives responding?
* Could this real estate space continue to see the emergence of new investors and developers, and why?
* Moderator: Bill Colgan, Managing Partner, Community Healthcare Associates, LLC
* Mark Burkemper, Senior Vice President, Harrison Street Real Estate Capital, LLC
* Todd Jensen, Chief Investment Officer, American Realty Capital Healthcare Trust
* Scott A. Mason, D.P.A, FACHE, Executive Managing Director and Leader | Healthcare, Cushman & Wakefield
* Michael A. Noto, Senior Vice President—Management Services Group, Health Care REIT
* Jonathan L. Winer, Senior Managing Director and Chief Investment Officer, Seavest Healthcare Properties, LLC
9:20-10:00 Healthcare Legal Analysis: What are the Ramifications of the Affordable Care Act on Healthcare Real Estate, Including Leasing, New Development and Investment Sales?
* What are the true ramifications of the law on day-to-day operations in healthcare-related buildings?
* What industry property types are likely to see new demand – and what areas will see less demand?
* Will the law succeed?
* Will the law create new financing opportunities (grants, tax incentives, public-sector financing) for healthcare real estate assets?
* How have leasing, development and investment sales transactions and terms changed over the last few years?
* Moderator: Gary I. Fields, Esq., Law Offices of Gary I. Fields, PLLC
* Bernadette Herward Davida, Shareholder, Polsinelli LLP
* Marshall J. Gluck, Esq., Partner – Health Care Practice Group, Robinson Brog Leinwand Greene Genovese & Gluck P.C.
* Sean P. Leyden, Partner/Director, Garfunkel Wild, P.C.
* Gary Sastow, Law Offices of Gary S. Sastow, PLLC
* Eric L. Altman, Member of the Firm, Epstein Becker & Green, P.C (tentative)
* Jill A. Steinberg, Partner, Arent Fox LLP (tentative)
10:00-10:20 Networking Break
10:20-11:00 Healthcare Industry Perspective: What are the Most Innovative — and Profitable — Medical Services Being Provided Today?
* How are you seeing the transition of today’s healthcare services from provider-centric to patient-centric?
* Who will be the winners – and losers – as healthcare systems continue to consolidate?
* How are individual physicians surviving today?
* Can individual physicians survive today or do they need to join a healthcare system in order to stay afloat?
* How is the current reimbursement system affecting the face of healthcare?
* How is the retail delivery of healthcare services (Urgent care, ambulatory care, ambulatory surgery centers) affecting the overall delivery of healthcare?
* Moderator: Laca Wong Hammond, Head of Healthcare Real Estate – Healthcare Investment Banking, Raymond James
* David J. Biehl, Executive Vice President and General Counsel, PM Pediatrics Management Group, LLC
* Scot Glasberg, MD, President Elect, American Society of Plastic Surgeons
* Arthur Klein, MD, President, The Mount Sinai Health Network
* Morris Gross, Vice President – Facilities Management, Danbury Hospital
* Paul N. Orloff, MD, President, New York County Medical Society
* Dr. Simeon Schwartz, Founding President and CEO, WESTMED Medical Group
11:00-11:30 Networking Break
11:30-12:20 Financing Healthcare Real Estate: Who are the Most Active Debt Sources, and What are the Return Requirements of Equity in 2014?
* Analysis of new, emerging and alternative debt programs in 2014
* Analysis of equity sources: Who is stepping up to the plate, any why? And, who has returned to the bench?
* Are you seeing the trend of healthcare systems (notably hospitals) monetizing assets so they can better free-up capital for infrastructure and other improvements?
* Will the healthcare law create new financing options and opportunities?
* Is healthcare real estate more desirable in 2014 for debt and equity sources?
* Is there a specific property type (hospitals, MOBs, research facilities) that is more favorable for debt/equity financing?
* Analysis of interest rates and other external/macro factors that could impact the capital markets and availability of debt/equity
* Moderator: Ronald M. Shapiro, Administrative Director, Rutgers Business School Center for Real Estate Studies
* Steve Anderson, Senior Vice President, Capital One Commercial and Specialty Finance (not pictured)
* Jonathan Buehner, GE Capital Healthcare Financial Services
* Gregory Heck, Director of Finance, Anchor Health Properties
* Michael J. Lubben, Esq., Director, Gibbons P.C.
* Ken Music, Regional Manager, Bank of America
* Jeffrey H. Cooper, Chairman & Executive Managing Director, Savills
12:20-12:50 Networking Luncheon
12:50-1:30 The Evolving Design Spectrum: Analysis of Healthcare Design Today and the Efficiencies of Multiple Care Facilities
* What are healthcare providers key concerns with designing spaces today to make the most efficient and patient friendly?
* What are the key characteristics in terms of design today to make healthcare spaces more efficient?
* Compared to other property types, healthcare facilities have significant impact on the environment, therefore what are the key characteristics in planning a project to see that it is environmentally friendly?
* What are the key elements to make healthcare spaces more patient friendly?
* Are you seeing healthcare users incorporate sustainability into their architectural design?
* With the expansion of healthcare construction, are you seeing a lot of new companies expanding into this area? And, is this a trend?
* Exploring the importance of efficient health care design in today’s multi-specialty healthcare spaces
* What is hot, and what’s not in healthcare real estate architecture, design and development in 2014?
* How are design innovations being implemented in various regions of the U.S.?
* How is the Affordable Care Act impact changing healthcare real estate design strategy?
* Moderator: H. Guy Leibler, President, Simone Healthcare Development
* Jeffrey P. Drucker, AIA, Vice President and Studio Director, Northeast Region, ARRAY
* Ciro Fraschilla, AIA, President & Chief Executive Officer, Mascioni & Behrmann, Architecture & Engineering, P.C.
* Christopher W. Korsh, Senior Principal – Regional Leader, Healthcare, HOK
* Chan-li Lin, Partner and Director of Healthcare, Rafael Vinoly Architects
* Salley Whitman, Co-Founder & Executive Director, NXT Health
1:30-2:10 Seniors’ Housing & Assisted Living Opportunities: Will the Combination Aging Population and Rising Demand for Apartment Units Create a ‘BOOM’ Opportunity in the Seniors’ Housing Sector?
* Why invest and/or develop seniors’ housing and/or assisted living facilities? What are the key differences between the two property types?
* What types of traditional and non-traditional financing are available for this new niche?
* Who is buying seniors’ housing/assisted living assets in 2014, and why?
* Analysis of value and demand drivers in seniors’ housing and assisted living assets.
* Analysis of rental growth: Just how fast is the tenant base growing as the population ages?
Moderator: * Beth Burnham Mace, Chief Economist and Director of Capital Markets Outreach, National Investment Center for the Seniors Housing and Care Industry (NIC)
* Michael Glynn, Development Director, Shelter Group
* Steven Laufer, President, Promenade Senior Living
* Casey N. Moore, Principal, Prudential Mortgage Capital
* James F Sherman, Executive Vice President – Seniors Housing, Beech Street Capital
2:10-2:50 The “High-Barrier to Entry” Northeast Medical Office Building Market: How are Investors Approaching Changing Healthcare Delivery Dynamics and Regional Development Challenges?
* Analysis of buying, selling and vacancy trends in New York, New Jersey and other northeast markets
* How have macro and micro economic conditions impacted the MOB sector?
* Who is financing new MOB investment and development deals in 2014?
* Why are MOB assets more or less desirable than hospitals or research facilities?
* Analysis of strategies to reposition office, retail and other under-performing assets to MOBs.
* Moderator: Chris Montello, Principal, MP Healthcare Services
* Art DellaSalla, Managing Director, Meritage Properties LLC
* Wilkingson Germain, Investment Officer, Ventas, Inc.
* Amanda Houghton, Executive Vice President – Asset Management, Healthcare Trust of America, Inc.
* Kyle D. Marden, Vice President, LEED AP, Hammes Company
* John Marshall, Vice President, Duke Realty
* Frank R. Williams, Jr., Senior Managing Director – Acquisitions, Medical Properties Trust, Inc.
2:50-3:30 New Funds & Healthcare Real Estate Investment: Who are the New and Under-the-Radar Investors Entering the Healthcare Real Estate Spectrum, and Why?
* Analysis of risk-and-reward for new investors: Why buy or building a hospital, medical office building or research facility?
* What types of debt sources are financing new investment/development: banks, life companies, CMBS or another source?
* Is JV equity an option for financing new investment/development?
* What has been the experience of new funds in this space over the last 5-10 years?
* Buy, sell or hold: If healthcare real estate is “recession-resistant” property type, what factors will sustain its growth in good economic times and why is it particularly attractive to the myriad of new and emerging investors?
* If successful in acquiring a medical building, what are the keys to maintaining a healthy, happy and occupied property?
* What are the factors that make owning a medical building different from a general commercial/office building?
* What factors should be considered when deciding to purchase properties locally, regionally or nationally?
* Moderator: Darren M. Lizzack, MSRE, Associate Vice President, NAI James E. Hanson
* Charles “Chick” Atkins, Principal, Atkins Companies
* Andrew Lawler, Partner, Healthcare Development, The Keith Corporation
* Norman K. Livingston, Managing Partner, Founder, Norvin Partners, Ltd
* Jared Morgan, Vice President – Investments, SPIRIT Realty Capital
* Max Newland, Director – Acquisitions, Kayne Anderson Real Estate
3:30 Keynote Address: “The National Healthcare Real Estate Development Outlook”
James D. Bremner, President – Healthcare, Duke Realty
In the mid-1990s, Jim Bremner was among the first commercial real estate developers and investors to recognize the growing need – and opportunity – presented by the healthcare sector. Today, scores of projects and millions of square feet later, Jim’s entrepreneurial vision and hands-on experience serve him well as the hard-working leader of Duke Realty’s dedicated healthcare team. Under Jim’s leadership, healthcare has become a major division of Duke Realty. The company’s healthcare portfolio now consists of 70 in-service MOBs totaling 5.4 million square feet, with nine more projects totaling 873,000 square feet under development. In 2012, the company reached the goal for healthcare to comprise 15 percent of Duke Realty’s asset base.