After a stellar 2015, investment sales volumes and construction activity in the medical office sectorare showing a healthy pace. But whether 2016 will top last year’s activity levels may just be a matter of politics.

In the 12 months spanning from July 2015 to June 2016, 665 healthcare properties representing more than 40.4 million sq. ft. of space were sold nationally, according to medical real estate information company Revista Med. The total dollar volume came to $12.24 billion. At this point last year, that figure stood at $13.7 billion.

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