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TRIADMEDICALOFFICE
YEAR-END
MARKET
REPORT
2022
2|TRIADMEDICALOFFICE|2022YEAR-ENDMARKETREPORT
TABLEOF
CONTENTS
OVERVIEW
MedicalOfficeOverview&EmploymentStats
4
TriadMedicalOfficeMarketClusters
6
SUBMARKETS
Forsyth
7
Guilford
8
Alamance
9
CONSTRUCTION
ConstructionActivity-2022Deliveries
10
ConstructionActivity-Pipeline
11
LEASES
2022LeaseTransactionsMOBHighlights
12
2022InvestmentSalesMOBHighlights
13
OURTEAM
C&WHealthcareAdvisoryTeamOverview...........14
CUSHMAN&WAKEFIELD|3
MEDICALOFFICE
OVERVIEW&TRIAD
HEALTHCARENEWS
MEDICALOFFICEOVERVIEW
Greensboro/Winston-Salemweatheredshiftingeconomictidesandinflationarypressuresthroughtheendof2022.Theunemploymentrateincreasedby50basispoints(bps)to4.1%duringthefourthquarter;however,morethan16,400jobsintotalwereaddedoverthecourseoftheyear.AmbulatoryHealthCareServicejobs–includingofficesofphysicians,dentists,andmedicalanddiagnosticlaboratories–continuedtoincrease,climbing3.5%throughout2022tonearly33,700jobs.Employmentgrowthinthesefieldsisexpectedtopersistwithanestimated6.8%employmentgrowthbytheendof
2025.
Availablespaceoptionsinthemarketrecededwiththeoverallvacancyratedecreasingby60bpsin2022to4.9%,sinkingbelowthefive-yearaverageof5.1%.AlamanceandForsythCountiesbothremainespeciallytightwithrecordedvacancyratesof2.2%and2.6%,respectively.
Averagegrossaskingrentalratesjumpedtoanewhistoricalhighof$25.17persquarefoot.Thisrepresentsa10.7%increaseyear-over-yearafterarelativelyflatrentalratetrendsince2018,indicatingthesector’sdemandfornewsupply.
Thefirstandfourthquarterswerethemostactiveof2022intermsofleasingactivitywithmorethan69,000squarefeet(sf)ofnewleasesandrenewalssignedbetweenthetwo,drivingtheannualtotalto107,000sf.Themarketrecordedhealthyoccupancygainsin2022withnearly83,000sfofpositivenetabsorption,outpacingnewconstructiondeliveries.
One30,000-sfpropertyadjacenttoAlamanceRegionalMedicalCenter,developedbySametCorporation,deliveredin2022providingmuch-needednewsupplytothemarket.Overthepastfiveyears,only98,000sfofnewproducthasbeenbuilt,growingthemarket’sinventoryby1.8%inthattime.
4|TRIADMEDICALOFFICE|2022YEAR-ENDMARKETREPORT
EMPLOYMENTSTATS–Q42022
YOYChg
12-Mo.Forecast
644.7K
TriadEmployment
4.1%
TriadUnemploymentRate
3.7%
U.S.UnemploymentRate
DIRECTRENTALRATEVS.OVERALLVACANCYRATE
CUSHMAN&WAKEFIELD|5
BURLINGTON
40
STOKESDALE
TOBACCOVILLERURALHALL
NORTHFORSYTH
311
52
SUMMERFIELD
NORTHGREENSBORO
421
BETHANIA
220
29
OAKRIDGE73
WALKERTOWN
OSSIPEE
WESTFORSYTH
AIRPORT/
NWGUILFORD
KERNERSVILLE
GREENVALLEY/
MIDTOWN
WINSTON-SALEMCBD
KERNERSVILLE
840
421
MCLEANSVILLE
ELON
LEWISVILLE
785
MEBANE
ON-SALEM
ST
INST
WIN
IN
IN
HAWRIVER
GRAHAM
40
40
SEDALIA
GREENSB
WHITSETT
WESTGREENSBORO
SOUTHEASTFORSYTH
40
EASTGUILFORD
74
GREENSBORO
CBD
285
ALAMANCE
73
SWEPSONVILLE
CLEMMONS
840
85
FORESTOAKS
JAMESTOWN
FORSYTHCOUNTY
HIGHPOINT/
SWGUILFORD
HIGH
PLEASANTGARDEN
POINT
SAXAPAHAW
BORO
421
TRIADMEDICALOFFICE
MARKETCLUSTERS
GUILFORDCOUNTY
ALAMANCECOUNTY
REGIONALHEALTHCAREMARKETSUMMARY
VacancyRate
4.9%
Leasing
Activity
106,962SF
Total
Available
273,800SF
OverallAskingRent
$25.17PSF
Inventory
5,610,354SF
Overall
NetAbsorption
82,679SF
COUNTY
FORSYTH
GUILFORD
ALAMANCE
Inventory:
2,525,062SF
2,804,428SF
553,864SF
TotalAvailable:
58,678SF
202,935SF
12,187SF
VacancyRate:
2.6%
7.2%
2.2%
LeasingActivity
31,220SF
51,742SF
24,000SF
OverallNetAbsorption
15,721SF
25,990SF
40,968SF
OverallAskingRent(AllClasses)
$22.03PSF
$25.77PSF
$28.10PSF
6|TRIADMEDICALOFFICE|2022YEAR-ENDMARKETREPORT
FROMSUBJECTRE-
CEIVEDSIZECATEGORIES
AMANDAPIATT/USARE:BOV-
NEEDED-3040SIDCO1:23PM
93KB
CUSHMAN&WAKEFIELD|7
SPOTLIGHT
FORSYTHCOUNTY
Bethania
Walkertown
5
AtriumHealthWakeForestBaptistMedicalCenter
Winston-Salem
NovantHealthForsythMedicalCenter
Kernersville
NovantHealthKernersvilleMedicalCenter
NovantHealthClemmonsMedicalCenter
Clemmons
4
Advance
1
2
Wallburg
3
ADDRESS
OWNER
YEARBUILT
TOTALRBA
TOTALAVAILABLE
VACANCYRATE
ASKINGRATE(GROSS)
1
145KimelParkDr
FrontStreetCapital
2003
67,000
5,621
8%
$23.75
2
175KimelParkDr
FreemanCommercialRealEstate
1998
20,169
1,674
8%
$20.00
3
2025FrontisPlazaBlvd
WelltowerInc.
1998
50,128
10,976
22%
$18.75
4
111HanestowneCt
LyndhurstGynecologicAssociates
2016
55,700
0
0%
N/A
SPOTLIGHT
GUILFORDCOUNTY
nersville
Wesley
ConeHealthMosesConeHospital
ConeHealthMedCenterGreensboro
ConeHealthLongHospital
Greensboro
ConeHealthMedCenterHighPoint
4
AtriumHealthHighPointMedicalCenter
HighPoint
1
Jamestown
2
3
Pleasant
Garden
ADDRESS
OWNER
YEARBUILT
TOTALRBA
TOTALAVAILABLE
VACANCYRATE
ASKINGRATE(GROSS)
1
1126NChurchSt
HealthcareRealtyTrustIncorporated
2003
68,672
3,500
5%
$28.00
2
2001NChurchSt
HealthcareRealtyTrustIncorporated
2018
25,936
0
0%
N/A
3
510NElamAve
HealthcareRealtyTrustIncorporated
1989
35,292
1,876
5%
$23.50
4
1002NChurchSt
FlagshipHealthcare
Properties
1999
91,352
5,571
6%
$24.00
8|TRIADMEDICALOFFICE|2022YEAR-ENDMARKETREPORT
CUSHMAN&WAKEFIELD|9
SPOTLIGHT
ALAMANCECOUNTY
5
GreenLevel
GlenRaven
Woodlawn
Elon
Mebane
Burlington
HawRiver
ConeHealthMedCenterMebane
ConeHealthAlamanceRegionalMedicalCenter
Graham
Alamance
1
3
4
2
Swepsonville
ADDRESS
OWNER
YEARBUILT
TOTALRBA
TOTALAVAILABLE
VACANCYRATE
ASKINGRATE(GROSS)
1
963KirkpatrickRd
MontgomeryAssets,LLC
2023
24,000
0
0%
$37.50
2
4030OaksProfessionalPkwy
SametCorporation
2022
30,000
3,387
11%
Negotiable
3
2921CrouseLn
BurlingtonMedical
Center
2004
14,355
14,355
100%
$26.50
4
1041KirkpatrickRd
ConeHealth
1995
23,500
0
0%
N/A
CONSTRUCTIONACTIVITY2022DELIVERIES
A30,000-sfmedicalofficebuildinglocatednearConeHealth’sAlamanceRegionalMedicalCenterinBurlingtondeliveredinJune,developedbySametCorporation.Thebuildingdelivered88.7%pre-leasedtotwotenants,AlamanceENTandDRIAlamance,andonly3,387sfremainsavailableforlease.
ThepropertyisthefirstofmultipleproposedbuildingsattheBurlingtonMedicalOfficeParkprojectwith
over100,000sfofadditionalmedicalofficedevelopmentpossible.
4030OAKSPROFESSIONALPKWY
Size:
30,000SF
Owner:
SametCorporation
DeliveryDate:
Q22022
Submarket:
AlamanceCounty
10|TRIADMEDICALOFFICE|2022YEAR-ENDMARKETREPORT
CONSTRUCTIONACTIVITYPIPELINE
Threemedicalofficebuildingsareactiveintheconstructionpipeline.A24,000-sfbuildingisunderwayinBurlingtonwithplanstodeliverinQ22023.Theproject,whichis100%pre-leased,iswithinwalkingdistanceofAlamanceRegionalMedicalCenter.InGreensboro,2101NChurchSt.isunderconstructionlessthanamilefromMosesConeHospital.The7,392-sfspeculativeredevelopmentprojectisslatedtodeliverinthefirsthalfof2023andremainsfullyavailable.FrontStreetCapitalofWinston-Salemhas
brokengroundona36,000-sfpropertylocatedonthecornerofKimelParkDr.andBurkeMillRd.Thethree-storybuildingisexpectedtodeliverinQ22023andispre-leasedtotwotenants.
963KIRKPATRICKRD
Size:
24,000SF
Status:
UnderConstruction
DeliveryDate:
Q22023
Owner:
MontgomeryAssets,LLC
Submarket:
AlamanceCounty
2101NCHURCHST
Size:
7,392SF
Status:
UnderConstruction
DeliveryDate:
Q12023
Owner:
LDJDevelopment
Submarket:
GuilfordCounty
195KIMELPARKDR
Size:
36,000SF
Status:
UnderConstruction
DeliveryDate:
Q22023
Owner:
FrontStreetCapital
Submarket:
ForsythCounty
CUSHMAN&WAKEFIELD|11
2022HIGHLIGHTS
LEASETRANSACTIONS
PROPERTY
TENANT
SIZE
TYPE
SUBMARKET
195Kimel
ParkDr
Digestive
Health
Specialists
24,532SF
Pre-Lease
Forsyth
County
195Kimel
ParkDr
Piedmont
Retina
Specialists
12,000SF
Pre-Lease
Guilford
County
4030OaksProfessionalPkwy
DRI
Alamance
10,000SF
Pre-Lease
Alamance
County
3804Vest
MillRd
Monarch
7,210SF
NewLease
Forsyth
County
5921W
Friendly
Ave
Eagle
Physicians
5,208SF
NewLease
Guilford
County
1507
Westover
Ter
Carolina
AgeMgmt.
Institution
4,625SF
NewLease
Guilford
County
6NPointe
Ct
Eagle
Physicians
3,100SF
NewLease
Guilford
County
12|TRIADMEDICALOFFICE|2022YEAR-ENDMARKETREPORT
2022HIGHLIGHTS
SALETRANSACTIONS
PROPERTY
SALESPRICE
BUYER
SALEDATE
SUBMARKET
709Green
ValleyRd
$10.8M
($564psf)
LeBauer
Healthcare
January
2022
Guilford
County
300
Gatewood
Ave
$1.8M
($198psf)
PetersDevelopment
January
2022
Guilford
County
445
Pineview
Dr
$8.8M
($222psf)
Anchor
Health
Properties
February
2022
Forsyth
County
2718HenrySt
$2.6M
($290psf)
Christian
Richard
BruningIV
May
2022
Guilford
County
1492RymcoDr
$3.1M
($394psf)
Bonavita
Properties
June
2022
Forsyth
County
3155MaplewoodDr
$21.5M
($548psf)
Catalyst
Healthcare
RealEstate
December
2022
Forsyth
County
603DolleyMadisonRd
$5.1M
($193psf)
Tilghman&
Company
December
2022
Guilford
County
CUSHMAN&WAKEFIELD|13
14|TRIADMEDICALOFFICE|2022YEAR-ENDMARKETREPORT
HEALTHCAREADVISORYTEAM
WHOWEARE
BYTHENUMBERS
60
COUNTRIES
400
OFFICES
50,000
EMPLOYEES
$9.4B
2021REVENUE
USD
4.8B
MANAGEDSF
35M
squarefeet
ofhealthcare
propertiesunder
management
$2B
healthcareand
seniorhousing
investmentsales
in2019
300+
healthcare
advisory
practice
professionals
$4.6B
landlordand
tenantleasing
transactionvalue
in2019
HIGH-PERFORMINGTEAM
RYANGIOFFRE
Director
/p>
ryan.gioffre@cushwake.com
•15+yearsofexperience
•TriadLead
HealthcareAdvisoryPractice
KATIETUCKER
BrokerageCoordinator
/p>
katie.tucker@cushwake.com
•12+yearsofexperience
•TeamMember
HealthcareAdvisoryPractice
DREWWALTERS
ResearchAnalyst
/p>
andrew.walters@cushwake.com
•2+yearsofexperience
•MBA
CUSHMAN&WAKEFIELD|15
WEDELIVER
MEASURABLERESULTS
Cushman&Wakefield’sHealthcareAdvisoryGroupprovideshealthcareorganizationswithstrategicandtransformationalrealestateservicesthatdirectlyaffectpositivebusinessoutcomes.Morethan300realestatespecialistsdrawnfromavarietyofrealestatedisciplines,includingconsulting,brokerage,projectmanagement,property/facilitiesmanagement,andvaluation,helpclientsmakedecisionsthatenhancepatientcareandaccessibility,generateefficienciesacrosstheirplatforms,andmaximizethevalueoftheirrealestate.Weassistinaligningrealestatewithhealthcaremissions,whetherthatfocusinvolvesexecutingonasinglespecialty,planningfornewcaredeliverymodels,orcombiningmultiplepractices.
Ourexpertiseinthehealthcareindustry,combinedwithdeeplocalmarketknowledge,strongrelationshipswithhealthsystems,physicianpractices,andotherhealthcareproviders,allowsforrapidresponsetoourhealthcareclients’needs.
ServicesProvided
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NATIONALRESOURCES
LORIEDAMON
ManagingDirector
/p>
lorie.damon@cushwake.com
•15+yearsofexperience
•Ph.D.
•NationalHealthcareAdvisoryPracticeLeader
TRAVISIVES
ManagingDirector
/p>
travis.ives@cushwake.com
•10+yearsofexperience
•NationalHealthcareAdvisoryPracticeCapitalMarketsCo-lead
GINOLOLLIO
Managi
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