Few industries change faster than healthcare, and that means continuous opportunity for developers who understand that facilities must adapt, NexCore Group executive managing director-development & acquisitions Todd Varney tells us. Providing care in efficient, economical ambulatory facilities, whenever possible, is more desirable than in expensive venues such as hospitals, especially when healthcare systems are being asked to take financial risk for maintaining the health of a defined population. "NexCore’s growth strategy is based on the increasing demand for new outpatient facilities and medical office buildings," he says.

Denver-based NexCore recently broke ground on a 130k SF ambulatory care center—MC Fitness & Health—for Mount Carmel Health System in Orange Township, Ohio. It's in Delaware County, the number-one county in Ohio for the growth of the senior citizen population. Healthcare systems are beginning to develop facilities that integrate outpatient, physician, and medical fitness/wellness services as a way to manage population health, says executive managing director-development & acquisitions Jarrod Daddis. MC Fitness & Health is one of three outpatient centers that NexCore is developing for CHE Trinity Health in different parts of the country.