► Capital structure around healthcare operations is changing and there was a significant shift from hospital M&A to a recapitalization, private equity model.
► Physician employment trends continue, be it for hospitals or larger practices, or aggregating the PE backed model.
► Overall volumes in medical office declined by 2B in sales. However, cap rates compressed to all-time lows.
► Hospitals, health systems, and providers continued to move more toward the point of the patient with ambulatory care strategies working to locate in the right place, with the right service, at the right cost.
► Hospital and Health System finance has been a major topic of 2018, and we expect that conversation to heat up even more in 2019.