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Why Healthcare Real Estate Appraisals Are Getting More Scrutinized in 2025

  • Writer: Shane Lovelady
    Shane Lovelady
  • Apr 30, 2025
  • 1 min read

It used to be that if your rent roll looked clean and your comps checked out, your appraisal sailed through.


In 2025? Not so much.


Whether it’s behavioral health, senior housing, or outpatient medical, we’re seeing much more scrutiny on appraisals — and it’s coming from all sides.


Lenders are asking more questions.

Buyers are requesting more documentation.

Operators are being asked to explain their models in more detail.


So what’s going on?


→ Credit is tighter.

→ Risk tolerance is lower.

→ And people want assurance that a valuation actually reflects what the asset can perform like — not just what the comps say.


That means appraisers are spending more time on:


  • Operator financials

  • Licensing and regulatory risk

  • Market-specific demand trends

  • Reimbursement realities

  • Real-time capex needs



In short, the story behind the numbers matters more than ever.


If you’re getting a property appraised—whether for sale, refinance, or internal planning—you need someone who understands how the clinical side affects the financial side.


Because a surface-level valuation won’t hold up when it lands on a lender’s desk.


📅 Book a call if you’re looking for a healthcare valuation that stands up to scrutiny.

📬 Subscribe to the newsletter for updates on how underwriting and appraisal standards are shifting across the space.

 
 
 

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