2018 RealShare Healthcare
12:00 pm - 6:00 pm11th Annual RealShare Healthcare Golf Tournament
6:00 pm - 7:00 pmOpening Cocktail Reception

7:45 am - 8:30 amRegistration & Breakfast
8:30 am - 8:35 amOpening Remarks
8:35 am - 9:00 amKeynote: Healthcare Economic Outlook
Speaker: Mark Stapp, Fred E. Taylor Professor of Real Estate & Executive Director, Masters of Real Estate Development Program, Arizona State University W.P. Carey School of Business
Moderator: Sule Aygoren, Editor in Chief, Real Estate Forum & GlobeSt.com, ALM

While the direction of healthcare policy continues to be uncertain, the demand for medical space remains high as the number of adults over 65 is expected to increase by 9.2 million in the next five years. Additionally, positive employment trends suggest demand for urgent care and outpatient facilities will remain strong. However, over the last few years, large health companies have begun acquiring and merging regularly, which alters their needs for office space. This session will explore the state of the healthcare market, the factors driving growth and the areas under threat.
9:00 am - 9:50 amDeal Flow Drivers: Dissecting Demand & Capital Flow in 2019
Speaker: Caroline Chiodo, Senior Vice President, Finance, Healthcare Trust of America
Speaker: Darryl Freling, Managing Principal, MedProperties Realty Advisors, LLC
Speaker: Trisha Talbot, CCIM, Managing Director, Newmark Knight Frank
Speaker: Erik Tellefson, Managing Director, Medical Properties, Capital One
Moderator: Stefan Oh, Executive Vice President, Acquisitions, American Healthcare Investors

Healthcare real estate has become a more widely recognized asset class by both the domestic and international investment community. In 2017, sales of medical office buildings reached record highs despite uncertainty over healthcare reform, value-based reimbursement and changes to the healthcare delivery setting. An aging population creates additional needs for healthcare services and will continue to increase demand for modern, well-located space for years to come. Plus, this year has seen an increase in large well-diversified portfolio sales as trends continue to support migrating to lower cost outpatient settings. In this session, panel experts discuss the "Real Deals" of 2018 and the factors behind them. In addition, this session will provide their outlooks for the capital markets in 2019, challenges, opportunities and the not-so-easy to spot trends.
9:50 am - 10:20 amNetworking Break
10:20 am - 11:10 amEvolution of Long Term Healthcare
Speaker: Kathleen Collins Pagels, Former Executive Director, Arizona Health Care Association & President, KC Pagels & Associates
Speaker: Amy Malkin, Chief Operating Officer, Pioneer Health Group
Speaker: John T. Thomas, President & CEO, Physicians Realty Trust
Moderator: Cole Gearhart, Shareholder, Healthcare Industry Group, Winstead PC

Over the last few years, there have been significant industry changes in long-term and behavioral healthcare. Skilled nursing facilities have been struggling to remain profitable due to pressure on reimbursement rates, payment reform, and rising costs even motivating a number or REITs to sell off properties. However, these facilities remain part of the healthcare universe and some providers are finding ways to increase revenue by adding services and rebranding as subacute facilities. This session will explore the way long-term care is being disrupted and how to be profitable in a space in turmoil.
11:10 am - 12:00 pmThe Impact of Innovative Technology
Speaker: Justin Brasell, Executive Vice President, Healthcare Advisory Services, Transwestern
Speaker: Michelle Caron, Director of Facilities, Abrazo Arizona Heart Hospital
Speaker: Jake Dinnen, Senior Vice President, Development, PMB
Moderator: David P. Wilson, CCIM, President, CCIM & Vice President, Real Estate Development, Ryan Companies

Innovation in healthcare technology has changed the rules of the game for hospitals and healthcare centers -- and continues to do so, day by day. As in other industries, healthcare will be disrupted by advancements in technology, which will have an impact on brick-and-mortar office space. Telemedicine and virtualized care programs are already rising in popularity with patients. Forward-looking strategies incorporating the right technology for use -- both now and in the future -- will maneuver hospitals and medical centers to stay relevant and profitable. This session will explore how innovations like telemedicine, remote monitoring of patients and big data are driving disruption in the sector, shifting facility needs and being incorporated into futuristic facilities.
12:00 pm - 12:30 pmBuffet Lunch Service
12:30 pm - 1:00 pmHREI Insights Awards Lunchtime Presentation
1:00 pm - 1:50 pmMergers & Acquisitions: The Future of Healthcare CRE
Speaker: Michael Plainte, Vice President, Environmental IHBS, VERTEX
Speaker: Shane Seitz, Senior Vice President, US Healthcare Capital Markets, CBRE
Speaker: Chris Wadley, Senior Vice President, Houston Healthcare & Life Science Lead, JLL
Moderator: Scott Nathan, Vice President, VERTEX

Within healthcare real estate, the rise in interest rates in 2017 has not yet resulted in higher cap rates. However, cost pressure remains high which has resulted in more M&A activity. The CVS acquisition of Aetna could drastically alter the healthcare delivery system and as CVS begins developing their “healthcare hubs,” it raises both questions and opportunities for commercial real estate. In addition, large healthcare systems are continuing to acquire smaller physician groups and solo practices benefiting larger modern tech-enabled buildings but potentially dampening the need for smaller medical office space. In this panel, experts discuss how M&A will affect the future of healthcare real estate, and what can be expected from CRE cap rates and asset prices in the years ahead.
1:50 pm - 2:40 pmSenior Housing: Understanding What Drives Buyers
Speaker: Tony Cassie, First Vice President, Investments, Marcus & Millichap
Speaker: Tim Dulany, Senior Vice President, Colliers International
Speaker: Amy Sitzman, Senior Associate, Blueprint Healthcare Real Estate Advisors
Moderator: Lana Peck, Sr. Principal, National Investment Center for Seniors Housing & Care

The senior housing industry is changing rapidly and conditions improved modestly in 2017 and 2018. While high operating costs are still a concern, investors and institutional buyers are showing renewed interest in the property type. The industry has struggled with overbuilding in the past but a shifting focus on the “active adult” segment is creating a new demand in 2018 and beyond. This session will explore the way changing demographics, demands, and finances of this target market are altering the way buyers are underwriting and structuring deals. Experts will discuss what these changes mean for the future of project development.
2:40 pm - 3:10 pmNetworking Break
3:10 pm - 4:00 pmExploring Unique and Non-Traditional Retail Spaces for Medical Facilities
Speaker: Stephanie Anderson, National Sales Director, Housing and Healthcare Finance, LLC
Speaker: Julie Johnson, CCIM, Principal, Avison Young
Speaker: Andrew Romerdahl, Senior Director, Real Estate & Construction, Providence St. Joseph Health
Moderator: Matt Bear, Founder, Bear Real Estate Advisors

The US healthcare system is under constant pressure to find lower-cost delivery options regardless of changes to healthcare policy. This has resulted in an increase in ambulatory care facilities like urgent-care centers and diagnostic laboratories. These retail-oriented facilities are expected to continue to rise in popularity, but how are industry leaders continuing to find value-add opportunities?
4:00 pm - 4:50 pmOutpatient Migration and the Hospital Sector
Speaker: Tracy Altemus, Executive Vice President, Healthcare Brokerage Services, Ensemble Real Estate Solutions
Speaker: Richard Paddock, Vice President, Development, Anchor Health Properties
Speaker: Steven Stubbs, Regional Director, Clinic & Ancillary Development, Adventist Health
Moderator: Amy Hay, Managing Partner, Evolve Healthcare Advisors, a Read King Partner

The shift towards outpatient and off-campus settings is showing no signs of slowing down. Especially as we see more hospital closures and sales from health systems seeking more efficient ways to expand their geographical footprint and better serve patients. This has led to the rise of “micro-hospitals” and subacute facilities which are taking the place of skilled nursing facilities in some cases. While this gives real estate companies and health systems additional value and delivery options, new CMS guidelines are making it harder for property’s like “micro-hospitals” to receive certification which puts Medicare agreements in jeopardy. Plus, behavioral healthcare facilities are being constructed all of then country since the Affordable Care Act increased coverage around mental health. In this session, we will discuss adding value to these sites and what trends in this space means for the healthcare real estate sector.
4:50 pmConference Adjourns