Healthcare Real Estate
The Most Active Buyer of Medical Office Buildings in the U.S.
Since 2020 no one has completed more individual medical outpatient building transactions than Montecito. We buy the buildings healthcare providers practice in, lease them back long-term, and use data to provide creative solutions to help them grow and thrive in an increasingly competitive environment.
Twenty Years of Medical Outpatient Real Estate
Montecito began in 2006 as a medical outpatient real estate investor and helped pioneer the asset class for institutional capital. Unlike REITs that buy portfolios, we acquire individual buildings, typically one at a time. We know the physicians who practice in these buildings, the pressures they face, and we have solutions.
$7B+
Invested in medical outpatient real estate since 2006
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
How We Create REAL ESTATE Wins
Unlimited Capital and Creative Structures That Fit Our Clients’ Needs
Sale-Leaseback
Unlock the capital in your real estate assets at fair market pricing and lease it back on a long-term net lease while you maintain control of your building.
Physician Co-Investment
Montecito pioneered a creative structure where physicians co-invest (PREP) with Montecito, where they can keep up to 49% ownership in a tax-deferred vehicle, with distributions during the hold period and a share of the potential upside if the asset sells in the future.
Development
Build-to-suit medical office and ASC projects, sited with Atlas data, structured as a joint venture, with up to 100% of the cost funded.
Property Management
A 13-person asset management team, a 99% occupied portfolio, and a landlord whose interests are aligned with the practice in the building.
What We Buy
Our acquisition criteria, the specialties we invest in, and the deal structures we lead with.
Portfolio
Representative example of 400+ outstanding medical outpatient buildings across 43 states.
You Own the Building vs. Partnering With Montecito
Your real estate has unrealized value. Monetizing your real estate unlocks capital helping you maintain long-term practice alignment and keeping full discretion over your assets.
If you are considering the concept of maintaining building ownership or selling to Montecito; there is no question: selling your valuable asset is by far the best option and continue to manage your building without the debt.
Borrowing VS. Sale Leaseback
Owning the building today
With a Montecito partnership
What Partners Do With Unlocked Capital
The Building Provides Untapped Capital Resources, We Help You Unlock It This Idle Asset.
Headwinds are coming but you have the opportunity to leverage your equity.
Patient Care
Invest in services, technology, and the patient experience.
Recruiting
Add the physicians and providers your market needs, our data shows you where.
New Sites of Care
Open locations and expand service lines where patients are already going.
Planning for the Future
Liquidity for partners’ long-term plans, succession, and debt reduction.
Redeploy Back into Your Building
Refresh and update your space, implement new equipment to facilitate more growth in your office. Montecito will finance this for you.
What Building Owners Say About Montecito
We were able to maximize our return on the building by selling to Montecito Medical and co-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
Ready to Put Your Real Estate to Work?
One conversation changes how you see your building. We will bring your unique growth story to it.
Our Trusted Partners
Long-term relationships with leading physician groups across 40 states.
