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FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
FREESTANDING EMERGENCY DEPARTMENTS
Trending Community-Based, Access-to-Care Model in Texas
Presented to:
HFMA/ACHE Summer InstituteThursday, August 25, 2016
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
Real Estate Solutions for Healthcare ProvidersServices:
• Site Selection• Brokerage• Development• Project Management
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
The Retailization of Healthcare
DENTISTDIALYSIS CENTER OPTICAL
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
This is Not a Typical Real Estate Transaction
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
What Makes FSEDs Unique?
• 24/7 Hours• Canopies• Expanded Corridors• Generator• Hazardous Locations• Increased Electrical Service• Landlord Education• Multi Tenant vs. Stand Alone• Oversize Water Lines
• Proximity to Hospitals• Power Requirements• Regulatory Requirements• Required Signage• Rezoning• Single Story vs. Multi Story• Sprinkled• Structural Support for HVAC• Slab Reinforcement for CT
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
ROOFTOP UNITS
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
ROOFTOP UNITS
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
HIGH VOLTAGE POWER LINE AND HIGH PRESSURE GAS LINE
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
HIGH VOLTAGE POWER LINE AND HIGH PRESSURE GAS LINE
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
PARKING LOT CONDUIT
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
FEMA FLOOD MAP
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
Deal Considerations
• Due Diligence Time Period• All Required Signage Rights in
Detail With Renderings• Utilities to Premises• Exterior Renovations• Location of Generator and
Conduit
• 24/7 Hours• Oversize Water Lines• Rezoning• Increased Electrical Service• Hazardous Locations• Sprinklers• Timing Considerations due to JV
with Hospital (Finance Committee and Board Approval)
• Budgets and Delays
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICESEXCEL ER | WEATHERFORD, TEXAS
BEFORE
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICESEXCEL ER | WEATHERFORD, TEXAS
AFTER
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICESPRESTON HOLLOW ER | DALLAS, TEXAS
BEFORE
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICESPRESTON HOLLOW ER | DALLAS, TEXAS
CONSTRUCTION
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICESPRESTON HOLLOW ER | DALLAS, TEXAS
AFTER
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICESPRESTON HOLLOW ER | DALLAS, TEXAS
AFTER
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICESPHYSICIANS PREMIER ER | CORPUS CHRISTI, TEXAS
BEFORE
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICESPHYSICIANS PREMIER ER | CORPUS CHRISTI, TEXAS
AFTER
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
How Quickly Can a State’s Emergency Department Model
Evolve?An Analysis on Texas’ FSED Explosion
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
15Total
YEAR: 2010NEW FSEDS: 15
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
20Total
YEAR: 2011NEW FSEDs: 5
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
38Total
YEAR: 2012NEW FSEDs: 18
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
71Total
YEAR: 2013NEW FSEDs: 33
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
122Total
YEAR: 2014NEW FSEDs: 51
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
193Total
YEAR: 2015NEW FSEDs: 71
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
224Total
YEAR: YTD 2016NEW FSEDs: 31
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
248Total
YEAR: PENDINGNEW FSEDs: 24
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
Total
15 5 18 3351
71 5515 20
38
71
122
193
248
0
50
100
150
200
250
300
350
2010 2011 2012 2013 2014 2015 2016 (YTD)
New FSED'S Total FSED's Expon. (Total FSED's)
FSED Growth in Texas
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
Custom Prescribed Site Analysis™
Demographics and Market Report
• Heat Maps• Drive Time• Median Income• Traffic Counts• Insurance Mapping• Competition• Healthcare Expenditures• Growth Rate Forecasting• Population Density• Physician-per-population Ratios• Marketing Impact
FREESTANDING EMERGENCY DEPARTMENT REAL ESTATE SERVICES
Contact Information
Tommy NewtonPrincipal, Xite Realty
Office: (512) 270-2864
Fax: (214) 306-4547
Cell: (903) 235-8897
Email: [email protected]
