Public Private Partnerships…What are They Good For?

By Duke Dennis Over its 25-year operating history, Metropolitan Capital Advisors (MCA) has worked on numerous Public Private Partnership (PPP) transaction financings. PPPs have increasingly Read more

The Power of RECA (Real Estate Capital Alliance)

By: Scott Lynn and Andrew Hanzl Metropolitan Capital Advisors (“MCA”) is a member of the Real Estate Capital Alliance ("RECA"), a professional association of 18 Read more

Getting Creative: HUD 221 (D) (4)

By: Andrew Hanzl Take notice! The landscape is shifting: In anticipation of a market slow-down, commercial real estate lenders are dialing back their leverage and Read more

Private Lenders: Filling the Void

by Roger Wyche There will be approximately $96 billion of CMBS loan expirations during 2017. CMBS lenders, therefore, have been counting on refinancing  Borrowers to Read more

A Bridge (Loan) to Everywhere

By Charley Babb Do you remember John McCain’s famous “Bridge to Nowhere” speech from 2005? As the Arizona Senator, and then later as the Republican Read more

Limited Service Hotels are, well…limited!

By Todd McNeill In recent times, the Limited Service Hotel sector’s reputation has steadily declined in the eyes of the finance industry. Once the darling Read more

TrumpCare and the Effect on Healthcare Commercial Real Estate Market

By Kevan McCormack Since Donald Trump has taken office as President of the United States, he has been very busy “making good” on his campaign Read more

What is the TRUMP Effect on Commercial Real Estate? 4 Key Points

— By Sunny Sajnani There is no doubt that Donald J. Trump in the White House is a game changer for the real estate industry. Read more

Whither CRE Construction Lending?

By: Justin Laub The mantra of commercial real estate developers around the country when speaking of the state of construction lending these days might be: Read more

The Good, the Bad, the Texas High-Speed Rail Line

By Duke Dennis Brady Redwine of Texas Central Partners (TCP) recently addressed a group of Texas A&M real estate professionals about the high-speed rail line Read more

UT Ranked #1 in Commercial Real Estate Yardage

-By Scott Lynn Every fall season, the University of Texas at Austin McCombs Real Estate Finance & Investment Center (REFIC) sponsors the National Real Estate Read more

2017: Not a Forecast (Just Some Thoughts to Ponder) for the CRE Market

By Brandon Wilhite Accurately forecasting the commercial real estate market’s performance is a nearly impossible task. There are far too many variables to assess and Read more

What is PACE Financing?

By Andrew Hanzl Global warming is now a widely accepted concern. As real estate professionals, what role can we play to ensure environmental sustainability? One Read more

Banks Reign in Leverage in Effort to Curb Apartment Construction

By Charley Babb My real estate career spans over three decades. Yet for the very first time, I have witnessed lenders exercise prudence and consequently Read more

Risk Retention in CMBS Starting to “Sink” in

By Todd McNeill The early signals of Risk Retention are reverberating through the commercial real estate capital markets.  Several conduit shops, including MC Five Mile Read more

Risk Retention, Risky Business?

By Scott Lynn Basel III, HVCRE…all these new lending regulations that mean lenders are loaning me less and charging me more. Good grief!!! And now, Read more

It’s Senior Living Not Senior Dying

By Kevan McCormack Everything in life and real estate evolves.  Static retail shopping centers evolved into vibrant entertainment venues where a family could spend an Read more

Metropolitan Capital Advisors Arranges $5,512,000 Acquisition Loan For A 9.77- Acre Lot In Frisco

Metropolitan Capital Advisors, Ltd. (“MCA”) has arranged a land acquisition loan for a 9.77-acre tract located in Frisco, Texas at the northeast corner of Read more

Metropolitan Capital Advisors Arranges A $4,700,000 Construction Loan For UC Health Emergency Room (Arvada)

Metropolitan Capital Advisors, Ltd. (“MCA”) has arranged a $4,700,000 construction loan for UC Health Emergency Room, located in Arvada, Colorado. The 0.69-acre site is Read more

Ground Leases-Friend or Foe?

On the surface, a ground lease seems like a simple concept: a landowner grants permission for a tenant to use their land in exchange Read more

What Do Baby Boomers and Millennials Have In Common & Why It's Important in Commercial Real Estate

By Charley Babb What do Baby Boomers and Millennials have in common? They both like to spend money. While they may spend their money on Read more

The Economic Benefits of Walkability

By: Brandon Wilhite Starting with the Federal-Aid Highway Act of 1956, the way cities were developed in the United States began changing. Although it was Read more

Brexit – Immediate Effect on Commercial Real Estate?

— By Sunny Sajnani In late June 2016, a historic referendum was voted on approving the British withdrawal from the European Union (EU).  The immediate Read more

Hotels: What Inning Are We In?

By: Justin Laub I recently returned from the Urban Land Institute’s national conference on hotels and resorts. The last time ULI held this event was Read more

Choppy CMBS Market Hoping For Resurgence

By Charley Babb CMBS issuance for the first quarter of 2016 was roughly half of the production for the same period in 2015. This has Read more


TrumpCare and the Effect on Healthcare Commercial Real Estate Market

By Kevan McCormack

Since Donald Trump has taken office as President of the United States, he has been very busy “making good” on his campaign promises in one of the most active “100 Days” in history and 46 million American who are 65 and older are paying attention!

There has been much talk of repealing the not so “Affordable Care Act” (“ACA” and aka ObamaCare) and many are confident this will happen, eventually.  The tricky part of it is simply a problem of optics and short term memories…call it ‘Dementia of the Masses’.  The law was sold on the basis of stopping rapid premium growth and reigning in healthcare costs.  However, most Americans intuitively know that ACA is massively unaffordable and that premiums are still rapidly increasing for a majority of Americans.  While everyone is required to have healthcare, it is not necessarily the healthcare they require.

The core of the problem has to do with two closely related concepts: firstly, the ‘Individual Mandate’, whereby everyone has to purchase qualifying health insurance otherwise pay a penalty; and, secondly the ‘Pre-existing Condition Exemption’, which prohibits a health insurer from denying an individual insurance based on a pre-existing condition.  These two concepts form the core of the law.  You can’t have one without the other.  There is concern that Congress might make the massive mistake of getting rid of the Individual Mandate provision while still forcing insurers to ignore pre-existing conditions.  This will trigger a very dangerous relationship in Economics Game Theory known as ‘Adverse Selection’ that will certainly destroy the industry!

Can Congress simply repeal the entire law?  Sure they can, but wholesale repeal is very unlikely given Congress’ history and because buried deep in the law are a few actually useful pieces of legislation regarding digital medical records and reducing waste, fraud and abuse.  Rather, Congress will steadily dismantle it in order to reduce negative ripples in the press and the marketplace.  But most importantly, Congress is likely to address the Individual Mandate problem in unison with the pre-existing condition provisions.  Pulling out the knife hurts as bad or worse as getting stabbed in the first place…but it is the first step to fixing the problem!

Outside of healthcare, Trump has promised a few other popular initiatives that seem likely to occur.  These include eliminating the Estate Tax and reducing income taxes while simplifying the U.S. Tax Code.  The Estate Tax seems easy, it is double taxation period (hence Unconstitutional), and simplifying the Tax Code is something that most Americans want.  Just imagine the day that we can pay our taxes based on a simple system where everyone pays a fair percentage of their income!  Maybe these good things will happen before the healthcare bills kick-in for our aging citizens!

When developing your next Healthcare facility will be helpful to have a finance partner who is well-versed in all aspects of the healthcare market.  MCA has been financing Healthcare and Senior Living facilities for over 20 years.  To discuss the financing of your next project, contact Kevan McCormack at

Posted on by admin in Commercial Real Estate Finance Comments Off on TrumpCare and the Effect on Healthcare Commercial Real Estate Market