In its November/December 2023 edition, ALM | Globe St. Real Estate Forum has named HSA PrimeCare executive vice president Robert Titzer to its list of national healthcare and senior housing influencers.

Real Estate Forum‘s write-up of Titzer highlights his experience in the industry as a leader for over 25 years, which includes tenant representation, property marketing, real estate development, land transaction and owner representation.

“Throughout his time at HSA PrimeCare, Titzer has partnered with healthcare providers to create modern facilities that meet patient needs amid industry changes, including everything from technological advancements to changes in how providers are reimbursed for services provided.”

In addition, the publication also includes comments from PrimeCare president John Wilson for a feature titled, “Medical Office and Life Sciences: Two Sides of an Investment Coin,” which delves into how despite life sciences and medical office being complementary with one another, investors usually embrace one or the other.

“With single-digit vacancy rates and strong fundamentals like life science but backed by healthcare spending rather than venture funding, it’s still a strong bet for today. And for the future, because with an aging population, there will be plenty of needs for doctors of all sorts, and the medical offices they lease.”

Congratulations to Bob and the HSA PrimeCare team on this recognition! Click here to read the full digital edition of Real Estate Forum.

Given higher interest rates and other challenges in the healthcare industry, some new development has hit a pause, which has led to increased attention on second-generation or existing spaces. This type of space provides benefits for both users and owners, which include more cost-effective buildouts, easier commitment with fluctuating interest rates, and new revenue stream for property owners.

To read the full article, visit RE Journals.

Midwest Real Estate News’ editor Dan Rafter wrote the following biography of Wilson:

“Even if you’re on the right track, you’ll get run over if you just stand there.” This is the quote HSA PrimeCare President John Wilson lives by, and one that’s led him to enjoy success in nearly every aspect of CRE, including brokerage, tenant representation, property marketing, real estate development, land transactions and owner representation…

Over the past 25 years, he has led the growth of [HSA PrimeCare]–with clients such Advocate Healthcare, University of Chicago Medicine, Loyola Healthcare, Trinity Health and Franciscan Alliance–which has developed, leased and/or purchased more than 1 million square feet of healthcare facilities across the Midwest…

Though the recognition speaks for itself, Wilson’s favorite aspect of the business is the people. “I have been fortunate to meet and work with people from different real estate sectors,” he said. “Business is people and having good relationships to celebrate the achievements and overcome the challenges is key to business success.”…

The full article is available in the Hall of Fame edition of Midwest Real Estate News.

In the “Medical Office Building Decade Report” by 42 Floors, HSA PrimeCare president John Wilson discussed the state of the medical office market, as well as the complexity medical office buildings compared to traditional office buildings.

“As more healthcare services move to outpatient settings, new MOBs will continue to be in demand – some co-located with senior housing, retail and other complementary uses – and many will have larger footprints than their predecessors to offer a wider spectrum of care,” Wilson said.

Check out the full report here.

42 Floors, part of the CommercialEdge network, aggregates CRE spaces for sale, lease, sublease, and coworking throughout the United States. Searches are unlimited and listings are promoted across CommercialEdge’s network of listing websites that receive 2 million visitors per month.

UChicago Medicine was looking to expand its medical oncology program at their site on the Silver Cross Hospital Campus in New Lenox, Ill. Meeting with HSA PrimeCare, the developer and owner of the cancer center building, UChicago Medicine outlined the growth requirements. The oncology program is located on the second floor of the cancer center. HSA PrimeCare evaluated an expansion to the existing building, and additionally presented a potential expansion into a neighboring building to be constructed as a bridge between the two buildings. Though complicated, the latter scenario proved to be more cost effective than an expansion of the existing building.

“We’re proud to collaborate with UChicago Medicine to expand healthcare services for cancer patients in the region,” said John Wilson, president of HSA PrimeCare. “The expanded facility is yet another example of how academic medical centers are bringing specialty services such as cancer care into community health settings.”

Developed in 2012 by HSA PrimeCare, the property is fully leased to Silver Cross Hospital and UChicago Medicine, whose cancer center was the first modern oncology facility of its kind in Chicago’s south suburbs. To serve a higher volume of patients, 11 exam rooms, five physician offices and two research offices were added, and one suite was built out to accommodate additional exam rooms and treatment areas.

HSA PrimeCare first began working with Silver Cross Hospital in 2008, when the hospital chose the firm to develop and manage a two-story, 53,000-square-foot medical office building primarily occupied by Lurie Children’s Hospital of Chicago physician offices, Silver Cross Center for Women’s Health and Hinsdale Orthopedics. HSA PrimeCare was selected to develop the cancer center in 2011 and a subsequent expansion in 2014. Later that year, HSA PrimeCare also developed Silver Cross’ 30,000-square-foot business center to house offices, hospital support departments, EMS training and IT for the hospital.

Strategically located at the confluence of I-355 and I-80 in New Lenox, Silver Cross Hospital is the premier location for healthcare delivery to Chicago’s southwest suburbs. Eckenhoff Saunders served as the architect for the expansion, while PREMIER Design + Build served as general contractor.

The Froedtert & the Medical College of Wisconsin health network opened a new community hospital on Jan. 31. in Oak Creek providing high quality care in an inviting, streamlined setting close to home when sudden needs arise. Located at the Froedtert & MCW Drexel Town Square Health Center, Froedtert Community Hospital – Oak Creek is a fully licensed, accredited acute-care hospital and part of the Froedtert & MCW health network.

The small-scale community hospital will offer easy, around-the-clock access to emergency and inpatient care in a highly efficient setting, near where people live and work and will be open 24 hours a day, seven days a week, 365 days a year. At approximately 17,000 square feet in size, the hospital will have a seven-bed emergency department with eight inpatient beds for patients requiring additional care, observation and tests. The hospital, which also will have laboratory, pharmacy and imaging services, is designed to treat medical emergencies that require attention beyond a health center or urgent care clinic’s capability. The hospital will complement the current health care offerings provided at the Froedtert & MCW Drexel Town Square Health Center which offers primary and specialty care, diagnostic services, cancer care, urgent care and wellness care through Small Stones.

“The COVID-19 pandemic has reinforced that access to safe, high-quality care close to home has never been more important for our patients and the diverse communities we serve,” said Cathy Jacobson, president and chief executive officer of Froedtert Health. “The addition of our third community hospital furthers our health network’s mission of expanding access to academic medicine and will provide much needed capacity for our hospitals that continue to experience record-setting admissions and hospitalizations.”

She added, “Our continued investment in the community hospital model aligns with our commitment to provide access to academic medicine to the communities we serve and to deliver the right care in the right place at the right time. Along with our community hospitals in New Berlin and Pewaukee, our new community hospital in Oak Creek will simplify access for patients while providing the same level of care and reducing the need for patients to travel and therefore enabling us to care for more patients at our other hospitals.”

Medical College of Wisconsin emergency physicians as well as experienced registered nurses will staff the community hospitals, which are expected to see dozens of patients per day and to employ about 40 full-and part-time staff at each hospital. As licensed, accredited acute-care hospitals, they will be part of the Froedtert & MCW health network, follow its care and quality protocols and be connected to its electronic health records system to assure coordination of care.

HSA PrimeCare partnered to develop the project and Froedtert Health will lease the building through the partnership. CG Schmidt served as the construction manager for Froedtert Community Hospital – Oak Creek.

Froedtert Community Hospital – Oak Creek is located at 7901 S. 6^th Street, the same location as Froedtert & MCW Drexel Town Square Health Center.

Additional community hospitals within the Froedtert & MCW health network include:

Froedtert Community Hospital – New Berlin is located at 4805 S. Moorland Road, the same location as Froedtert & MCW Moorland Reserve Health Center.

Froedtert Community Hospital – Pewaukee is located at 209 Pewaukee Road.

“With this acquisition, we continue to strategically grow HSA PrimeCare‘s portfolio with high-profile medical office buildings in visible, high-traffic locations,” said Jon Boley, senior vice president of acquisitions and development for HSA Commercial Real Estate and HSA PrimeCare. “We look forward to delivering the quality property management our firm is known for, as those services take on increased importance to both healthcare providers and the patients they serve.”

The building is currently 95% leased with about 800 square feet of leasable space. Tenants include Ascension Medical Group, which uses the location to provide a range of women’s health services, and Children’s Medical Group, which is owned by Children’s Wisconsin, one of the nation’s top children’s hospitals. Both tenants will remain in the location, where they have operated since the building opened in 2007.

3040 N. 117^th St. is adjacent to the Interstate 41 / U.S. Route 45 interchange at Burleigh Street, just one exit north from the Milwaukee Regional Medical Center, and just 10 minutes from the main campus of Children’s Hospital. Planned improvements to the building include additional landscaping.

Staff and visitors to 3040 N. 117th St. have convenient access to nearby retail and restaurant offerings, including those at The Mayfair Collection, just northeast of the property. Developed and owned by HSA, the 69-acre mixed-use development features more than 400,000 square feet of retail anchored by Whole Foods Market and Nordstrom Rack, a 146-room Hilton Homewood Suites and 269 luxury apartments.

Tom Shepherd and Adam Connor of Colliers | Wisconsin Investment Services Team represented the sellers in the transaction.

In total, HSA PrimeCare has developed, leased and managed over 2 million square feet of medical office buildings across the Midwest, including several properties in the Milwaukee area. PrimeCare’s client roster includes healthcare industry giants as Advocate Health Care, Franciscan Health, Froedtert & the Medical College of Wisconsin, Loyola Medicine, UChicago Medicine, Rush, Saint Joseph Mercy Health System, Silver Cross Hospital, as well as many large independent physician practices.

“Our team has enjoyed the challenge of developing and enhancing the value of these medical office building assets over the last decade, and we look forward to continuing to manage these properties on behalf of IRA Capital,” said John Wilson, president of HSA PrimeCare. “With increased development and investor interest in healthcare as an asset, HSA PrimeCare looks forward to continuing our efforts to develop new quality outpatient facilities with our healthcare partners.”

The portfolio includes investment-grade, hospital-anchored assets that were developed or acquired by HSA PrimeCare, including the following:

• Advocate Good Samaritan South at 6840 Main St. in Downers Grove, Ill., a 35,011-square-foot outpatient clinic developed by HSA PrimeCare in 2008 and anchored by Advocate Aurora Health
• Hawthorn Surgery Center at 240 Center Drive in Vernon Hills, Ill., a 15,321-square-foot freestanding surgery center developed by HSA PrimeCare in 2014 as a build-to-suit for Deerfield, Ill.-based Surgical Care Affiliates
• Advocate Aurora Health Muskego Clinic at S68W15500 Janesville Road in Muskego, Wis., a 24,067-square-foot retail healthcare clinic offering OB/GYN and radiology services, bought by HSA PrimeCare in 2012
• Advocate Aurora Health Beverly Clinic at 1357 W 103rd Street in Chicago, Ill., a 33,519-square-foot multi-tenant office building constructed in 1955 and redeveloped in 2007 by HSA PrimeCare to house an Advocate Aurora primary care clinic, as well as long with a bank

Mike Wilson and Erik Foster of Avison Young represented HSA PrimeCare in the transaction.

As the modern healthcare consumer demands increased accessibility, healthcare providers seek to bring medical services closer to their patient bases. This means more facilities in highly visible locations. Developers are able to meet this need by adding medical facilities to mixed-use developments while also benefiting from the stability that this product type offers.

“Medical offices can be incorporated into a wide variety of mixed-use developments,” said Titzer. “Everyone needs health-care services, at all income levels, and essentially wherever people live and work.”

Access and parking can present significant challenges when incorporating medical into mixed-use developments. Since patients may be sick, injured, or elderly, special attention must be given to ensuring smooth patient flow in and out of the development.

“Medical facilities operate best when their patients do not have to compete for parking or access with other component users of the development,” according to Titzer. “They need drop-off areas and protected parking close to their destinations.”

One example of this is HSA PrimeCare’s recent multi-specialty medical development in Drexel Town Square with Froedtert & the Medical College of Wisconsin. 

“Drexel Town Square is an exciting new ‘front door” for Oak Creek, Wis., and having a health-care component dovetailed perfectly with the development’s mix of community, retail and residential uses. Its location made perfect sense for Froedtert & the Medical College of Wisconsin. As part of a larger 85-acre mixed-use project that includes a new city hall, public library, shopping, restaurants, service-oriented businesses, hotel and apartments, a MOB fits into this modern, master-planned development.”

To read the full Q&A, visit the Commercial Property Executive website.

Particularly for families who travel far to seek the medical care their child needs, parents often find themselves eating out of vending machines and racking up unaffordable hotel bills. Ronald McDonald Houses help families stay together and focused on what’s important – the health of their child. The organization provides private rooms, home-cooked meals, child play areas, and other services to the families of children facing a severe medical crisis, allowing them to focus on the care of their child without the added stress of searching for affordable and convenient housing and food. Through the Culinary Hearts program, HSA PrimeCare volunteers had the pleasure of preparing and serving lunch to these families and packing to-go boxes for families who could not attend lunch at its regularly scheduled time.

The HSA PrimeCare team is excited and proud to have volunteered with this impactful organization, and we look forward to many more years of participation.

Ronald McDonald House Charities is able to make a difference in the lives of so many families, thanks to the generosity of volunteers dedicating their time, talent, and resources to the organization. We encourage all of our friends and partners to visit the Ronald McDonald House website to learn how you can lend a hand.