Why Medical CRE Tenants Are Getting Pickier

f you’ve been watching lease-up timelines in medical real estate, you’ve probably noticed they’re stretching out. It’s not because demand is gone—it’s because tenants have options, and they know it.

Operators are looking at every factor before committing: patient parking ratios, mechanical systems that can handle heavy medical use, buildout allowances, and landlord experience with healthcare users. In behavioral health and senior living, they’re adding layers like proximity to referral networks and state licensure requirements. A shiny new building in the wrong spot or without the right infrastructure will sit.

This shift puts the spotlight on real market intelligence. It’s not enough to know vacancy rates—you need to know what specific user groups in your submarket actually care about right now. That could be the difference between a 9-month vacancy and a quick signed lease.

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