Patrick Dugan

Mainly Healthcare Real Estate

[Patrick Dugan @HRE_Pat]

Excited to officially join the team at ERE Healthcare Real Estate Advisors. A platform built exclusively for healthcare real estate.

Working alongside a great team, we’re focused on helping physician owners navigate one of the most overlooked decisions they’ll make: what to do with the real estate tied to their practice.

The journey continues!

https://t.co/FA5GtNv1VD

[Patrick Dugan @HRE_Pat]

If commercial real estate brokers are selling and buying buildings, why does the value change the moment you change the lease terms?

[Health Space Insider @HREAdvisor]

Ambulatory care is growing 8x faster than inpatient. See what this site-of-care shift means for healthcare real estate strategy, site selection, and ASC, imaging, and clinic development.
https://t.co/qABYSUyJQQ

[Patrick Dugan @HRE_Pat]

@ChrisRamsey60 Drove by your short term rental in LG yesterday, nice find!

[Patrick Dugan @HRE_Pat]

@kenashley Love this. Some of the most enjoyable things we have in life are things we already have.

[Patrick Dugan @HRE_Pat]

You should dive in if you’re a daily coffee drinker! I have a casebrew, few hundred bucks no bells and whistles but had it for 3 years and hasn’t skipped a beat. I like Kauai beans, TJ’s has some good beans too and it’s fun to be out and snag beans at different spots you pop into.

[Patrick Dugan @HRE_Pat]

@sweatystartup Some people are likable but codependent. What do you do then?

[Patrick Dugan @HRE_Pat]

@AdamHKlein Brokers manage egos for free! and that ends now 😂

[Patrick Dugan @HRE_Pat]

@AvivaRealEstate Is the facility licensed? Are there cameras? Background checks? Childhood education experience? Gender is a proxy for a fear that better systems address.

[Patrick Dugan @HRE_Pat]

@TAYVAY_ For the most part the people that pick up the phone are the ones doing the most. Trading more information, meeting more people, doing more deals. I understand why people don’t. To each their own.

[Patrick Dugan @HRE_Pat]

@AdamHKlein You mean to tell me the client is the only ego in the transaction ?! 😮

[Patrick Dugan @HRE_Pat]

@GenZMultifamily Then that’s your angle. you’re the buyer who already knows this market, already owns on the street and isn’t going to waste their time 🤷🏻‍♂️ . I hope you get it man! I’m sure the area would positively benefit.

[Patrick Dugan @HRE_Pat]

I speak with physicians regularly who were approached by investors directly on their property or practice sale.

The words I hear most often is the same.

“Taken advantage of.”

Investors on both sides of a physician’s balance sheet are sophisticated. The property buyer has done this hundreds of times. The practice acquirer has a playbook built for this exact moment.

[Patrick Dugan @HRE_Pat]

@realEstateTrent As someone that’s attended both private and public schools. The best education doesn’t teach you what to think - it teaches you how to think, then puts you on the spot to prove it.

[Patrick Dugan @HRE_Pat]

@ChrisRamsey60 A lot of times what I’m advising in the healthcare real estate space is the owners of OpCo and PropCo do this exact thing but it’s more important for them to hire other providers for the practice, bolster the practice EBITDA and hit a home run on their real estate.

[Patrick Dugan @HRE_Pat]

The problem lives in the overlap between two transactions that most physicians handle separately.

The practice attorney protects the practice. The real estate attorney reviews the lease.

Nobody’s typically in the room thinking about BOTH at the same time.

[Patrick Dugan @HRE_Pat]

I have a lot of conversations with physicians that have never thought about their real estate as an investment.

They own the building. They own the practice. And they’re thinking about selling one without really understanding what it does to the other.

🧵⬇️

[Patrick Dugan @HRE_Pat]

The physician is sitting in the middle of both negotiations.

A dollar less in monthly rent multiplied out at a market cap rate can move the property value by hundreds of thousands or more.