Episode 19

What makes a medical outpatient building different from a regular office building, and why has it stayed so resilient while traditional offices struggled? Host Jed Byrne, Barnhill’s Director of Business Development, sits down with Trey Adams, managing partner at Atlas Stark in Raleigh, to explore medical outpatient buildings (MOBs), the healthcare real estate asset class benefiting from an aging population, a booming Triangle, and reforms to North Carolina’s Certificate of Need laws.

The conversation covers the design details that set MOBs apart, from parking ratios and stretcher-sized elevators to ground-floor imaging and surgery-ready sprinklers, along with why occupancy historically stays above 90%. Adams also explains how healthcare is shifting from hospitals to convenient outpatient settings, how Certificate of Need regulation works, and who invests in these buildings, from private practices and REITs to 1031 exchange buyers.

Adams closes with the biggest risks in medical outpatient development, including overbuilding and a national physician shortage, plus the trends and potential disruptors shaping demand for years to come. Whether you’re a developer, investor, healthcare provider, or contractor, this episode offers a practical look at one of commercial real estate’s most durable asset classes. 

Constructing the Carolinas is brought to you by Barnhill Contracting Company, which has been Constructing the Carolinas since 1949, hosted by Jed Byrne, and produced by Walk West.

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