**Abstract**

In 2016, I conducted an initial study around healthcare real estate in the Netherlands on behalf of the Association for developers & builders (NVB) to provide a picture of developments around healthcare real estate for investors. This resulted in an essay and an book contribution. Now six years later, it becomes curious how the healthcare real estate developments of the time have progressed to the present day. Before looking at the developments in 2022 compared to 2016, it is important to see how the healthcare real estate developments from 2009 through 2015 evolved where from 2009 only really shows an upward trend in real estate investments. This article consists of the 2016 study (Part I) and a 2023 update (Part II).

**Keywords:** investments, healtcare real estate, sustainable real estate, built environment, sustainable investments
