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Fundamento

Healthcare REITs — the demographic compound

Outpatient consolidation, aging demographics, and durable insurance reimbursement make healthcare real estate one of the most defensive property categories. Welltower (WELL), Ventas (VTR), Healthcare Realty (HR), Healthpeak (DOC). Composite +1.0 in our 2025–2035 framework.

Sub-segments behave differently. Medical Office Buildings (MOBs) — outpatient clinics, ambulatory surgery centers — are the most defensive. Lease terms 7–10 years, hospital-system tenants, demand growing with outpatient share-shift from inpatient.

Senior housing — the operating-margin-leveraged segment — is in a structural uptrend (see the senior housing card). Skilled nursing is a different animal: reimbursement-driven (Medicare/Medicaid), labor-intensive, regulatory risk, generally lower-quality earnings.

For individuals: a diversified healthcare REIT (Welltower, Ventas, Healthcare Realty) gives blended exposure. For purer MOB exposure, Healthpeak (after its 2023 spinoff). For purer senior housing operating exposure, Welltower's RIDEA structure is the standard institutional approach.

#healthcare#MOB#Welltower#Ventas

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Single-family rentals (SFR)

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Short-term rentals (Airbnb) — the regulatory wildcard

Vacation rentals can generate 1.5–3× the gross of long-term rentals — but operating costs are higher, vacancy is higher (50–70% occupancy is normal), management runs 20–35% of gross, and regulatory risk is the biggest single threat to the entire investment thesis.

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Small multifamily (2–4 units)

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Small commercial property

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