(Bloomberg) The Runway at Playa Vista in Los Angeles recently added a Whole Foods, a movie theater, and upscale shops and restaurants—retail center staples intended to attract affluent shoppers, condo-buyers, and tech companies to the mixed-use development. The next big tenant slated to move in, however, is a little different: A 32,000-square-foot doctors' office, where the Cedars-Sinai Health System plans to house outpatient services including obstetrics, gynecology, and pediatrics.
While urgent-care centers have been strip-mall staples for decades, the chance to catch dinner, a movie, and a surgical procedure under the same roof is new—and coming soon to a mall near you. The reason is commerce: Mall operators are looking for tenants that trade in entertainment and services to replace the brick-and-mortar retailers slowly being strangled by Amazon.com and its online competitors. Rents, particularly at older malls, are a bargain.
The health care industry, meanwhile, is moving away from centralized campuses to bring services closer to patients at a time when two key demographics are entering prime years for consumption. Boomers are hitting an age when they can expect to use more health care services; millennials are starting families and beginning to make doctors appointments for their kids.
Put those factors together, and voila: You can get your blood pressure checked just steps from the steakhouse.
Chris Isola, vice president in the health care service group for CBRE, says the idea of putting medical clinics in malls is one that landlords are just starting to come around to. "I think from Cedars' perspective, that's how you capture the younger demographic," he explains. "The challenge is convincing the landlord of a highly desirable center that there should be a medical clinic. It's like, 'This is why you should put Cedars here and not break up the space for five or six boutiques.'"
Gauging just how rapidly health care companies are absorbing retail space is difficult, because the industry is composed of regional and local players, many of which are using only small amounts of space. CoStar, a commercial real estate data and analytics firm, has begun tracking health care companies as retail tenants only in recent years, making it hard to measure the industry's footprint. But the consensus among observers is that it's the wave of the future.
"It's a big part of demand growth for retail space," said Hans Nordby, managing director for Portfolio Strategy at CoStar. "Ten years from now we aren't going to think anything about it. It will be like, I went to the strip mall, I saw the doctor, and then I bought a pair of shoes."
Cedars-Sinai isn't the only health care provider to take a large space in a retail mall. Others include the Prime Healthcare, which operates a 23,500-square-foot ambulatory care facility at the Plymouth Meeting Mall outside Philadelphia. Last year, UCLA Health put a dozen doctors in a new medical office at the Village at Westfield Topanga, a high-end mall in Woodland Hills, California.
Then there's Vanderbilt University Medical Group, which occupies the entire second level at the 100 Oaks Mall in Nashville, Tennessee, where patients can pick up a pager when they check in at a clinic, then browse the outlet shops on the lower level while they wait. It used to be that only restaurants would give you a pager to let you know when your table was ready. Now it means the results of your CT scan are in.
