Rahul Chhajed Profile picture
Leader of #1 healthcare real estate team in the U.S. 29 years old. $1B+ in volume to date. 160+ medical buildings sold in 2022. MOBs, ASCs, dental, vet, etc.

Jan 14, 2023, 7 tweets

Healthcare sale leasebacks are one of #CRE’s best kept secrets.

The upside potential is great, and achieving it is simple.

Best part, your tenant does all the work.

🧵

To understand this, let’s look at a couple trends in healthcare -

1) PE-backed groups are rapidly acquiring medical practices all over the country

2) Hospital system M&A activity hit an all-time high in 2022

Pretty much, hospitals and PE firms are on a buying spree!

However doctors aren’t the only ones gaining from their hard work…

Real estate investors are too!

When a doc group sells their practice, the RE owner gets what’s called a “credit enhancement.”

This is where the upside part comes in.

What was once a lease to a private practice, is now one to a PE-backed company or health system.

This is huge!

Why? Answer this.

What’s the difference in value b/w a corporate lease and mom & pop one?

125 bps? 150 bps?

That 15 year dental deal you bought at an 8 cap? Now its a 6.5 cap.

This is one of the strongest cases for buying healthcare RE.

Ride the consolidation wave.

Buy deals leased to well-performing dentists, veterinarians, surgeons, etc. that are prime for acquisition.

Sit on it and have your property value increase overnight.

Consider this the next time you’re in the market for a value-add deal.

But remember to please keep this between us! 🤫

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