If You’re Chasing Space Right Now, You Better Be Ready to Move

Medical office space isn’t sitting. The good spots are getting picked off fast, and the days of slow negotiations and soft LOIs are over.

Landlords are being selective. Construction costs are still high. TI packages are tighter. And if you show up without financials, a real buildout plan, or a clear operating history—you’re probably not getting the space.

This is especially true for behavioral health and specialty outpatient care. Demand is there, but inventory is limited. And the groups landing space aren’t always offering more money. They’re just showing up more prepared. Their paperwork is ready. They have licensing timelines mapped out. They know their CO path. The landlord’s risk is lower, so the deal gets done.

If you’re shopping space right now, understand that you’re not just competing on rent. You’re competing on certainty. And landlords have options.

There’s still opportunity. There are still good deals to be had. But they’re going to the operators and developers who are ready to execute on day one—not the ones who need three weeks to figure out who their architect is.

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