Joel D. Swider

Attorney | Indianapolis

Phone: (317) 429-3638
| Fax: (317) 633-4878

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About Joel

Attorney | Health Care Real Estate Strategist | Co-Service Line Organizer, Real Estate

Joel Swider is a trusted advisor to hospital systems nationwide, known for delivering strategic, client-first solutions in commercial real estate, construction, development and property tax matters. With a deep understanding of the health care landscape and a commitment to maximizing client value, Joel helps hospitals navigate complex transactions with confidence and clarity.

His practice includes:

  • Structuring alternative financing mechanisms, including off-balance-sheet options like credit-tenant leases and nonprofit foundation models.
  • Leading ground-up development projects—from campus planning to negotiating GMP and design-build contracts.
  • Securing long-term control of hospital campuses through ground leases and REIT-led solutions.
  • Unlocking capital through sale-leasebacks and portfolio optimization strategies.
  • Obtaining and defending property tax exemptions across multiple states.
  • Ensuring compliance with Stark Law and Anti-Kickback Statute in real estate transactions.
  • Managing large leasing portfolios to reduce risk and enhance tenant satisfaction.
  • Advising on high-value portfolio transactions, defending key negotiation points to protect client interests.

Representative Experience:

  • Lead counsel in a $360M sale-leaseback of 20 medical office buildings for a North Carolina health system.
  • Secured property tax exemptions for 20+ properties across four states in 2024.
  • Oversees a team managing 200+ lease documents annually for two health system clients.
  • Negotiated design and construction agreements for new hospitals in Alaska, Indiana and Maryland, ranging from $80M to over $100M, plus many other ground-up MOB and ASC developments.
  • Structured ground lease agreements in Illinois, Florida, North Carolina and Indiana.
  • Seller's counsel for a large, nonprofit health system in the sale and ground lease transaction on a newly constructed hospital campus in Florida.
  • Lead counsel for an ophthalmology group practice in sale to a private equity-backed enterprise. Granted the owners an interest in the buyer’s MSO and buyers employed all providers.

Joel co-leads the firm’s Real Estate Service Line and oversees Hall Render Title Support Services, which supports residential real estate closings. He also co-authors the Weekly Hospital Real Estate Briefing and hosts the Health Care Real Estate Advisor podcast, where he interviews industry leaders and shares insights on emerging trends.

A frequent speaker and writer on health care real estate, Joel brings a national perspective and a collaborative approach to every engagement. Before entering private practice, he served in the White House as Agency Coordinator in the Office of Presidential Correspondence.

Outside of work, Joel enjoys audiobooks and podcasts about company founders, playing tennis and pickleball, and spending time with his wife and sons in Indianapolis.

EDUCATION

University of Virginia, B.A.

Indiana University Robert H. McKinney School of Law, J.D., Honors in Health Law

ADMITTED TO BAR

  • Indiana
  • U.S. District Court, Northern and Southern Districts of Indiana

memberships

  • American Health Law Association – Vice-Chair, Publishing for Real Estate Affinity Group
  • Indianapolis Bar Association
  • American Bar Association
  • Health Care Compliance Association
  • Families First Indiana - Board of Directors, 2016-2017
  • Mental Health America of Greater Indianapolis - Board of Directors, 2015-2016

honors

  • Best Lawyers in America
  • Indiana Lawyer Leadership in Law Up and Coming Lawyer  – 2022
  • Finalist, Indy’s Best and Brightest – 2016
  • Indiana Health Law Review Eleanor D. Kinney Dedicated Service Award – 2011-2012
  • Executive Managing Editor, Indiana Health Law Review – 2011-2012
  • Member, Order of the Barristers, Indiana University Robert H. McKinney School of Law – 2011

Representative Experience

  • In 2026, Joel advised a health system on the real estate components of its affiliation with a county-owned facility in North Carolina. The transaction involved a long-term ground lease with a purchase option as part of a broader strategic partnership to expand access to care in a rural market. In lieu of rent payments, the health system agreed to over $50M in investments to improve the health of the community. The transaction presented several complexities, including structuring a lease arrangement alongside an asset purchase closing, coordinating title and closing deliverables across multiple counterparties, and navigating various environmental conditions.
  • In 2026, Joel advised a health system on the real estate components of a potential $350M acquisition of a hospital and related assets in California, which also contemplated hundreds of millions of additional dollars in expansion and new construction commitments at the campus. The transaction involved a multi-parcel, legacy campus with multiple buildings and layered ownership structures, including numerous ground leases dating back decades, and multiple assignments, amendments and unrecorded lease interests to navigate. Some of the real estate was held via joint ventures and affiliates of the seller. A significant issue surrounded certain development rights and capital commitments that the seller entity had made to the local municipality that impacted future entitlements and expansion rights of the buyer.
  • In 2026, Joel helped a nonprofit client obtain exemption from property taxes on newly constructed MOB improvements in Indiana. The improvements were subject to a financeable ground lease from a health system. The transaction involved separating the land (which was already exempt) from the leasehold interest in the improvements and positioning the improvements owner as a nonprofit affiliate furthering the health system’s charitable mission. Following an in-person presentation, the client ultimately obtained exemption because the improvements fit Indiana’s “owned, occupied and used for charitable purposes” standard, despite nuances involving the leasehold interest and development financing arrangement.