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    Allegro Helped Evaluate the Optimal Use of A Healthcare Asset


    hospice

    Challenge

    Hospice of the Western Reserve (HWR) is a nonprofit healthcare organization that provides end-of-life care services across Northeast Ohio. The organization owns a significant lakefront property in Cleveland, Ohio, which includes a purpose-built hospice facility and a repurposed monastery. As part of a broader strategic planning initiative, HWR engaged Allegro Realty Advisors to evaluate the optimal use of this asset, considering both market conditions and organizational priorities.

    Solution

    Scenario I – Disposition for Redevelopment focused on assessing the property’s potential value if sold for redevelopment. Allegro conducted a market study of comparable land transactions and adjusted historical data to reflect current economic conditions. The analysis considered two primary redevelopment paths: senior living and market-rate housing. Each path was evaluated based on land use compatibility, demographic trends, and the likelihood of securing necessary zoning variances. The study also accounted for the costs and implications of demolishing the existing structures, recognizing that the facility’s specialized design could deter potential buyers seeking more flexible development opportunities.

    Scenario II – Lease for Alternate Use explored the feasibility of leasing the facility to an alternate user while maintaining ownership. Allegro developed a ten-year financial model that incorporated operating costs, capital expenditure forecasts, and projected rental income. The analysis identified potential tenant types—primarily within the healthcare and social services sectors—that could utilize the facility with minimal modifications. To ensure a valid comparison with the disposition scenario, Allegro calculated the net present value of the projected lease income alongside a future reversion value of the property. This approach provided a holistic view of the long-term financial return associated with retaining the asset.

    Results

    The analysis revealed that both scenarios could yield comparable long-term value, though each carried distinct risks and operational implications. The disposition scenario offered immediate liquidity and reduced management responsibilities, but required navigating zoning challenges and potential demolition.  Conversely, the lease scenario preserved ownership and allowed for continued community engagement, but depended on securing a financially viable tenant and managing the property over time. Allegro’s findings equipped HWR with a clear, data-informed framework to evaluate its options. The report emphasized the importance of aligning real estate strategy with organizational mission, financial sustainability, and regulatory feasibility.