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: tnewton@xiterealty.com