Revista report shows sizable rise in square footage started, third-party projects
By John B. Mugford

The recently completed, 120,000 square foot Moffitt Speros Outpatient Center in Land O’ Lakes, Fla., was one of the projects that enabled Hammes to rank as the largest outpatient real estate developer of 2025, according to Revista’s annual report. (Photo courtesy of Hammes)
Although numerous challenges – with high construction costs topping the list – remain prevalent for those involved in developing medical outpatient buildings (MOBs), many professionals predicted in early 2025 that the pace of new starts would soon pick up.
They were right – at least when it comes to the amount of square footage, as well as the total dollar value, of all of the projects that broke ground last year.
According to the newly released Revista 2026 Outpatient Real Estate Development Report, which summarizes data from 2025, the amount of MOB square footage started last year rose to 21.8 million square feet, an 18.5 percent increase over the 18.4 million square feet that was started in 2024.
Also, as noted, the dollar value of the MOB projects that broke ground in 2025 also rose significantly
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