University of Michigan Health (Michigan Medicine) Credit Rating & NNN Cap Rate Analysis

| by the Investment Grade Team

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University of Michigan Health (Michigan Medicine) credit rating, NNN cap rate, and investment grade tenant profile
Metric Details
Organization University of Michigan Health, the clinical enterprise of the University of Michigan in Ann Arbor and part of Michigan Medicine
S&P / Moody’s (Regents’ general revenue bonds) AAA / Aaa
Investment grade status Investment Grade
Rated entity The Regents of the University of Michigan
Regional systems UM Health-Sparrow (Lansing; joined April 1, 2023) and University of Michigan Health-West
Median asking cap rate See the live table below

University of Michigan Health Business Overview

University of Michigan Health is the academic medical center of the University of Michigan in Ann Arbor and, with the U-M Medical School, makes up Michigan Medicine. Sparrow Health System in Lansing joined it effective April 1, 2023; at that time, University of Michigan Health described itself as a $7 billion organization overseeing more than 200 care sites across Michigan. Its regional systems include UM Health-Sparrow and UM Health-West.

University of Michigan Health Credit Profile

The general revenue bonds of the Regents of the University of Michigan are rated AAA/Aaa in our database. Those ratings apply to a lease only when the Regents sign or guarantee it. Leases signed by a regional system such as UM Health-Sparrow or UM Health-West, a physician group or a joint venture may not carry the Regents’ credit, so confirm the lease obligor and any guarantee on every property.

A strong system can still close, consolidate or relocate individual clinics as its strategy changes. The rating describes the system’s ability to pay its obligations, not a promise to keep any particular site open, so underwrite each property’s role in the local network and its re-use potential.

Ratings come from our tenant ratings database, which records the source of each rating. A rating at or above BBB‑/Baa3 is investment grade; see the investment grade guide.

Source: S&P Global Ratings AAA, as of October 8, 2026; Moody’s Aaa, as of October 8, 2026. Ratings checked October 8, 2026.

University of Michigan Health NNN Cap Rates

Live asking cap rates for University of Michigan Health and comparable tenants:

TenantS&P / Moody’sMedian asking cap rateMiddle half of listingsListingsMedian vs. 10-year Treasury
Heartland DentalB / n/a5.35%5.25% to 6.25%61+11 bps
Fresenius Medical CareBBB- / Baa36.55%6.28% to 7.10%6+131 bps
ConcentraBB / n/a6.57%6.26% to 6.85%6+133 bps
DaVitaBB / n/a6.75%6.15% to 7.30%37+151 bps

Active listings InvestmentGrade.com tracks with an asking cap rate (stated in the listing, or computed from its stated income and price when no rate is stated), listings last observed October 12, 2026. Asking cap rates are not closed-sale cap rates. The middle half is the range from the 25th to the 75th percentile of listings. The 10-year Treasury yield is 5.24% as of October 1, 2026 (FRED series DGS10). Ratings are the agency ratings in our ratings database for the entity shown, which may be a parent company; the rating type (for example issuer, senior unsecured debt, long-term debt or revenue bond ratings) varies by company and is shown on each tenant page. A rating applies to a lease only if the rated entity signs or guarantees it, so confirm the tenant and any guarantor in the lease. n/a means no verified rating is on file. Not shown because fewer than 3 active listings with a published cap rate were observed: University of Michigan Health, Oak Street Health.

We do not track enough University of Michigan Health listings with a published cap rate to show a median. The table shows healthcare tenants with enough listings. Compare an offering with recent sales leased to rated health systems with similar terms.

What to Check in a University of Michigan Health Lease

  • Obligor: whether the lease is signed by the rated system, a hospital subsidiary, an affiliated physician group or a joint venture, and whether the rated parent guarantees it.
  • Term and rent: remaining term, renewal options and the rent schedule; rent increases vary by lease.
  • Site role: whether the building is on or near a hospital campus and how central it is to the system’s local network; systems can close, consolidate or relocate individual sites.
  • Lease type: net, modified gross or full service; who pays for the roof, structure and building systems.
  • Re-use: how much of the medical build-out another provider could use.

Pros and Cons

Strengths Considerations
AAA/Aaa credit when the Regents sign or guarantee Many leases may be signed by regional systems or other entities without the Regents’ credit
Academic medical center with a statewide network Individual sites can still close, consolidate or relocate
Medical buildings with specialized improvements Specialized build-out can limit re-use

Frequently Asked Questions

Is University of Michigan Health investment grade?

The general revenue bonds of the Regents of the University of Michigan are rated AAA/Aaa in our ratings database, which classifies the Regents as investment grade. That rating applies to a lease only when the Regents sign or guarantee it.

Does a high rating mean a clinic will never close?

No. The rating reflects the system’s ability to pay its obligations. Health systems can close, consolidate or relocate individual sites, and the lease terms, including any termination rights, govern what happens to the landlord.

When did Sparrow join University of Michigan Health?

Sparrow Health System joined University of Michigan Health effective April 1, 2023.

Sources: UM Health-Sparrow announcement “U-M Health, Sparrow join to deliver world class healthcare” (April 3, 2023); ratings from InvestmentGrade.com’s ratings database.

University of Michigan Health Net Lease Property: Buying, Selling and Financing

Buying: We find on-market and off-market University of Michigan Health properties, review the lease and the tenant’s credit, and compare pricing with current listings. On the majority of transactions, there is no separate fee to you as the buyer; the listing broker pays a cooperating commission.

Selling: We can prepare an opinion of value from current listings and recent sales and, when it fits your goals, run a confidential sale to private investors, family offices and institutional buyers. See our guide to off-market sales.

Financing: Investment Grade Capital, a service of Investment Grade LLC, matches buyers and owners with lenders for acquisitions and refinancing.

1031 exchanges: Tell us your identification and closing deadlines so we can plan the search around them.

Request an NNN investment consultation or email team@investmentgrade.com.

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