Physicians and health systems take care of everyone. Montecito helps them grow and thrive.
Montecito is the most active buyer of medical office buildings in the U.S. For twenty years we have partnered with physician groups and health systems to unlock the capital in the buildings they practice in, identify and fund the facilities they need in the future, and keep them invested in both.
$7B+
Invested in medical outpatient real estate since 2006
Montecito Medical has completed more individual medical office building transactions than any other buyer in the U.S. since 2020. We buy the buildings physicians practice in, lease them back long term, and let the physicians who sell to us stay invested in the real estate.
Montecito At-a-Glance
Twenty Years. One Focus.
Since 2006 Montecito has invested exclusively in the medical outpatient real estate where physicians practice, and in the data, capital, and relationships that help them grow and thrive.
9X
GlobeSt.com Key Influencer in Healthcare Real Estate
700+
Medical outpatient buildings acquired
43
States
11.5M+
Square feet under management
500+
Medical provider groups as tenants
20
Years as a growth partner
Our Point of View
Healthcare Has Never Had a Growth Company. Until Now.
Costs are rising. Reimbursement is tightening. Care is moving to outpatient. Providers know they need to grow. But without a complete picture of their market, competitive position, and capital, deciding where and how becomes a multi-million dollar risk.
The problem is not ambition. It is resource fragmentation.
For twenty years we listened to health systems and physicians, and we built the answer: one partner, Montecito. We connect the data, intelligence, capital, real estate, operational insights, and consulting that growth requires.
Capital Is Trapped
Hundreds of millions in real estate value sit on the balance sheet instead of funding expansion, technology, and patient care.
Growth Is Reactive
Capacity constraints, referral leakage, and competitor moves get addressed after they happen, not before.
Decisions Are Fragmented
Data, strategy, capital, real estate, and operations live with different teams, on different timelines.
Competition Is Compounding
The practices and systems that spot opportunity earlier and move faster are taking market share. Standing still is not an option.
Healthcare Real Estate
How We Put Your Real Estate to Work
Four ways physician groups and health systems partner with Montecito on the buildings they own.
Sale-Leaseback
Unlock the capital in your building and lease it back long term so that you keep control of the space; and deploy the capital strategically to help your practice growth and thrive.
Physician Co-Investment
Keep up to a 49% stake in the building you sell, tax-deferred, with distributions during the hold period and a share of the potential upside if the assets sells again in the future.
Development
If you’re considering expanding your medical footprint, Montecito will help you identify the ideal location using its proprietary platform, Atlas, which drills down to your specialty need and where your patients go for medical care, plus we will fund up to 100% of the development cost.
Investing in Medical Office Funds
Invest in a diversified institutional-grade real estate portfolio of dominate physicians groups and health systems.
The Montecito Flywheel
One Connected Flywheel for Growth
Real estate is the engine. Atlas is the transformational intelligence behind every decision. Any partner can pull any lever at any time, and each one strengthens the relationship and opens the door to the next.
The Future of Healthcare is NOW
1. Montecito Atlas
The intelligence platform behind every decision: 1.2 trillion market data points working on one question, where is your next growth coming from?
2. SmartMOB
Atlas, powered by your own operating data: utilization, access, no-shows, and referrals across every building, with a fresh brief for leadership every morning.
3. MOB Monetization
Unlock the capital in the buildings you own through a sale-leaseback, and redeploy it into service lines, sites of care, physicians, and technology while you keep control of the space.
4. New MOB Development
When the data says grow, we build: turnkey build-to-suit medical office and ASC projects, planned with Atlas, with up to 100% of the cost funded.
5. Physician Co-Invest Program
Retain an ownership stake in the building you sell, tax-deferred, and share in the upside when the portfolio sells.
6. Medical Office Funds
Invest alongside Montecito and institutional investors in diversified portfolios of medical outpatient buildings leased to dominant groups and leading health systems.
7. Healthcare Growth Summit
Two days every October in Nashville with the physicians, executives, and innovators shaping how healthcare grows.
Montecito Atlas
The Intelligence Behind Every Real Estate Decision.
Where to build, which specialties to add, what a new site is worth at your contracted rates, and where your patients are going instead: Atlas answers the critical questions a real estate decision depends on, using 1.2 trillion market data points and your own practice data. We use this tool to select the buildings we buy and the sites we develop, and it is available to help the physician groups and health systems we partner with.
- Measure market share by site of service, sub-specialty, and competitor
- Quantify the physician deficit or surplus by specialty and ZIP code, now and five years out
- Track where patients leave your market for care, and the dollars that leave with them
- Benchmark your contracted reimbursement rates against competitors at the CPT level
- Map referral patterns and stop the leakage you cannot currently see
- Forecast the medical office space a market needs and the revenue it can generate
Aligning Interests to Create Wins Across the Healthcare Landscape
Two decades of building trust and delivering on promises. When our partners thrive, we thrive.
Physician Groups
Your medical building is probably your most valuable asset. We help you unlock its capital, stay invested in it, plan succession around it, and know exactly where and how to grow next.
Health Systems
Unlock capital from owned real estate, build where the data says, and see your market, your competitors, and your referral leakage in one place.
Investors
Institutional and physician investors participate in diversified portfolios of medical outpatient buildings, sourced through our proprietary platform and twenty years of provider relationships.
Developers
We provide capital at scale and speed, flexible partnership structures, and data-backed site selection for medical office and ASC projects.
Brokers
Timely decisions, quick closings, and a buyer who gets deals done. Bring us your medical office opportunity.
Trusted by Physicians and Health Systems Nationwide
We were looking for ways to increase our revenue and provider compensation. After assessing some key metrics in the platform, we were able to significantly reduce a variety of no-show and cancelled appointments and increase our clinical space utilization. We were thrilled with the end results: an increase in the contribution margin for each of our physicians by $229,000.
Earl Anderson
Chip and the staff of Montecito were fantastic to work with and very professional in helping us come to resolution of a difficult problem. This interaction led me to explore working with them further.
Bruce Cohen, MD
We were able to maximize our return on the building by selling to Montecito Medical and to do so where we were able to re-invest back into the new entity buying it. It was important to many of our physicians to continue to have some level of ownership in the properties where they practice.
Richard Panek
Our Trusted Partners
Long-term relationships with leading physician groups across 40 states.
Why Partners Choose Montecito
Different by Design. Built to Help You Grow and Thrive.
Growth First
We start with your growth vision. Although we buy more individual medical outpatient buildings than anyone else, we are not transactional. We are long-term partners.
Win-Win Structures
Co-investment back into the medical real estate you sell us, our medical office funds, and unique partnership structures that put everyone on the same side of the table. When our partners win, we win.
Twenty Years of Trust
A typical real estate transaction ends at closing. Ours begins there. 40% of our transactions are with repeat clients.
Healthcare Growth Summit · Oct 29–30, 2026 · W Nashville
Where Healthcare’s Growth Leaders Meet
Spend a day with dominate physician groups, health system leaders, and industry innovators on what is working, what is coming next, and how to grow. Invitation only; Montecito covers your seat and hotel.
The Latest From Montecito
News
Real Estate
Montecito Medical Acquires PeaceHealth Outpatient Asset
Montecito Medical, a leading investor in medical outpatient real estate, has acquired a 162,000-square-foot outpatient medical property in Eugene, Oregon.
News
Real Estate
Montecito Medical Acquires Medical Outpatient Building in Des Moines, IA
Nashville, Tenn. Montecito Medical, one of the nation’s most active investors in medical outpatient real estate, has acquired a 14,380-SF property in Des Moines, Iowa.
News
Real Estate
Montecito Medical Acquires Louisiana Ambulatory Surgery Center Property
Montecito Medical, one of the nation’s most active investors in medical outpatient real estate, has acquired a 10,690-SF ambulatory surgery center (ASC) property in Covington, Louisiana.
News
Real Estate
Montecito Medical Acquires Specialty Medical Property in Richmond
Montecito Medical, one of the nation’s most active investors in medical office real estate, has acquired a specialty medical outpatient property in Richmond, Virginia
News
Real Estate
Montecito Medical Acquires Medical Outpatient Building in Central Texas
Montecito Medical, one of the nation’s most active investors in medical outpatient real estate, has acquired a 13,620-SF property in Waco, TX.
News
Real Estate
Montecito Medical Acquires Medical Outpatient Building in North Carolina
Montecito Medical, one of the nation’s most active investors in medical outpatient real estate, has acquired a 61,000-SF building in Winston-Salem, North Carolina.
News
Real Estate
Montecito Medical Acquires Medical Outpatient Building in Arkansas
Montecito Medical, one of the nation’s most active investors in medical outpatient real estate, has acquired a 14,247-SF property in Bentonville, Arkansas.
News
Real Estate
Montecito Medical Acquires 4-Building Portfolio in Spokane
Montecito Medical, one of the nation’s most active investors in medical office real estate, has acquired four medical outpatient buildings in Spokane, Washington.
One Conversation Changes How You See Your Real Estate.
Tell us where you want to grow. We will bring your market’s growth story to the first meeting.
