Todd Meredith
Analyst · Morgan Stanley. Please go ahead.
Sure, Vikram. I think it is a bit of both. We probably have a slightly different view than maybe sort of this prevailing binary view that, there's a fixed bucket of services on a campus, and it's anything that can't be in the bucket smaller on-campus, we don't really subscribe to that, we think that bucket is always growing, the acuity levels are growing, the volumes are growing. I mean, the amount of inpatient expansion we see, that sort of counters the narrative that hospitals are somehow shrinking, we just don't see it. And so we're seeing and we're seeing more demand and more on-campus MOBs being built. And a lot of what Rob's working on his stuff, right around the hospital campuses. So we think, it's all a growing sector. So we'll continue to invest in both aggressively but there's no doubt and we've always said it's a very real trend that things have been moving also off-campus as well. And over time, acuity in the off-campus setting can improve to and is, and as you just pointed out, there's going to be more and more that can be done in those off-campus setting. So we like the odds of all of it. We think what's really important, though is learning how do you navigate that and balance the risk and the return? And I think that's what you've heard us express today that, that we're finding our own way to get better returns with that and have more risk and less variability by looking at things that have a strategic alignment with our clusters. Also, it's an extension of relationships that we have, being in denser, larger markets, all those things that help mitigate sort of the risk of just, small, rural, off-campus buildings that can go dark on you. So there is no hard and fast number. I think Rob maybe mentioned that we've got in our JV; we're doing more off-campus there. I think the JV to-date is roughly 40% off-campus. So that's a very different picture than the balance sheet, which is high 80s on-campus and around the campus. So our view is there's not a hard and fast number. We still, as I mentioned are allocating the bulk of things to the campus model. But we're opening up and I think it does increase the addressable market for us, which is very encouraging, so.