Healthcare Property Advisory

Medical Real Estate Advisory for
Physician-Owned Healthcare Properties

Unlock value in MOBs, clinics, ASC facilities, and sale-leaseback
opportunities — while protecting the operating business that supports
the property.
Request a Property Strategy Review
Why It Matters

The Tenant, Lease, and Operating Business Drive the Real Estate Story

Many physician owners are both landlord and tenant. Lease rate, term, renewal options, and tenant credit can change buyer interest and cap-rate valuation significantly. Lease decisions that improve property marketability can also reduce or reshape practice economics.

The goal is to optimize the combined value of the practice, ASC, and real estate — not maximize one at the expense of another.

Request a Property Strategy Review

Key Value Drivers

  • Tenant credit and operating performance
  • Lease term remaining and renewal options
  • Rent level relative to market
  • Facility quality, specialty buildout, and replacement cost
  • Occupancy, tenant concentration, and local market demand
  • Relationship to ASC or practice cash flow
  • Buyer type and capital market conditions

Property Types

Healthcare Properties We Support

Property Type Example Use Case Advisory Focus
Medical Office Building Owner-occupied or multitenant MOB Lease structure, occupancy, buyer universe, sale timing
Single-Tenant Clinic Physician practice building Sale-leaseback, tenant credit, lease term, cap-rate positioning
ASC Facility Physician-owned ASC building Facility specialization, operator strength, rent coverage
Imaging Center Specialty diagnostic facility Equipment relationship, tenant operations, referral stability
Urgent Care / Outpatient Clinic Clinic or ambulatory asset Tenant demand, local market depth, lease durability
Healthcare Property Portfolio Multiple buildings tied to practice or ASC Package vs. separate sales, sequencing, tax and advisor coordination
Request an ASC Strategy Call
What We Do

Transaction Support Services

From initial property strategy review through buyer selection and
closing coordination.

Property Valuation Positioning

Assess how lease terms, occupancy, tenant credit, and market conditions translate into buyer cap-rate expectations.

Lease Audit & Marketability Review

Review existing leases for terms that enhance or limit buyer interest — before going to market.

Sale-Leaseback Advisory

Structure a lease that supports property value while protecting operating entity economics.

Buyer Universe Strategy

REITs, PE, private investors, healthcare real estate groups, and owner-users — matched to asset type and seller goals.

Confidential Buyer Outreach

Targeted outreach without public marketing — controlled messaging and NDA before any buyer sees property details.

Advisor Coordination

Coordinate legal, tax, lending, and practice transaction advisors through a single closing timeline.

Sale-Leaseback

Sale-Leaseback Can Create Liquidity — But the Lease Must Be Built Carefully

A sale-leaseback allows you to sell the property to an investor while continuing to occupy it as the tenant. It can unlock significant capital while keeping your practice or ASC in place.

But buyers will closely evaluate lease duration, rent coverage, escalations, renewal rights, tenant strength, facility specialization, and replacement risk. Physicians should model how rent terms affect both property value and operating-entity value before the lease is structured.

Discuss a Sale-Leaseback Opportunity

What Sale-Leaseback Buyers Evaluate

  • Initial lease term (typically 10–20 years)
  • Rent coverage ratio (operating cash flow vs. annual rent)
  • Annual rent escalations (typically 1.5–3%)
  • Number and terms of renewal options
  • Tenant credit and specialty facility replacement cost
  • Absolute NNN vs. modified gross lease responsibilities

Transaction Experience

Healthcare Real Estate
Transactions Closed

Medical Office Building

41,954 SF Multitenant MOB — Near-List Offer in 3 Weeks

Near-list-price offer received within three weeks of confidential outreach. No public marketing required. Institutional buyer identified through a targeted process.

Multi-Use Healthcare Property

ASC + Imaging + Clinic Building — Closed in ~90 Days

Multiple competitive offers generated. Sold to a PE firm following a structured confidential process. Practice and ASC coordination was essential to positioning.

Sale-Leaseback — REIT

8,398 SF Single-Tenant Medical Clinic

Sale-leaseback executed with a healthcare REIT. Physician owner retained occupancy; building proceeds unlocked significant capital at closing.

Combined Portfolio

ASC + Practice + 10,000 SF MOB — Single Transaction

All three assets sold in a coordinated single transaction. Portfolio packaging attracted a broader institutional buyer universe and simplified closing logistics.

Before You Sign a Lease or Sell the Practice, Review the Real Estate Strategy

A lease signed today affects what the property will be worth
tomorrow. Strategy starts before the first buyer conversation.
Schedule a Medical Real Estate Review
Download the Real Estate Value Guide