If any of those sound familiar, you're not stuck. You may just not know yet what your building is worth — and what it can do for you.
Find out what your building is worthThese are the options most physicians have been weighing. They aren't the only ones.
The physicians who get the best outcomes are usually the ones who had a conversation they didn't know they needed — before they made any decisions at all.
What your colleagues already know
These concerns are real. Here is how we address each one.
Control
Won't I lose control of my building?
No. A long-term NNN lease keeps you as the operator. Your lease defines the terms. Your staff, your patients, your schedule — none of it changes. Many physicians tell us they feel more in control after, because the financial pressure of carrying the asset is gone.
Tax
What about capital gains tax?
It's a real consideration and it belongs in the conversation from day one. How a transaction is structured matters enormously for your tax outcome. This is exactly why the process — and who guides you through it — is as important as the price you receive.
Retirement
Isn't this building my retirement plan?
For many physicians, it is. That's the right instinct. The question is whether real estate earning 2 to 3% per year is actually performing as a retirement asset — or whether that same capital, liquid and working, serves your retirement better. That's the conversation worth having.
A sale-leaseback lets you sell your medical real estate to a private or institutional buyer, sign a long-term lease, and keep operating in the same location.
Your equity stops being tied up in a building. It starts working.
You can also sell at full market value and retain a minority ownership interest in the real estate. This means that you and your physician partners can still participate in the upside of the real estate, have a clear exit plan, and bring in or buy out partners without anyone paying above market. It's not all or nothing.
| What changes | What stays the same |
|---|---|
| You receive a lump-sum payment for the building | Your location, your patients, your staff |
| You pay rent instead of carrying the asset | Your clinical autonomy and daily practice |
| Your equity is now liquid and working for you | Your identity as a practicing physician |
| You can invest proceeds at 10% or greater returns | Your operational control of the facility |
What your building's equity can actually do for you:
Right now, your building earns you 2 to 3% per year in appreciation. That's not a bad investment. It's just not your best one.
If you hold the building
$300K–$350K
per year on a $5M building
2–3% annual appreciation. Equity locked in the asset. Capital that isn't working for you anywhere else.
If you unlock the equity
$500K+
per year on that same $5M
Same capital. Completely different deployment. And nothing about how you practice medicine changes.
The transaction typically takes about six months. Your long-term lease keeps you in your building. Your patients never notice a thing.
See how to maximize the value of your ASC real estateWe spend our careers working in ASC real estate. Not healthcare broadly. Not commercial real estate generally. Physician-owned ambulatory surgical centers, surgical hospitals, and medical office buildings, specifically.
When you work with us, you work directly with Jon Vick and Jason Winokur. Not someone briefing them afterward. No upfront fees. We get paid when you do.
Most of the physicians we work with come in thinking they have two options. They leave knowing they had four all along.
35+
Years in ASC Real Estate
500+
Completed Transactions
$3B+
Total Deal Value
$0
Fees Until Closing
“I would highly recommend Jon Vick to any physicians who have an interest in an ASC or endocenter and are looking for corporate partners and require strategic advice about pursuing a future partnership.”
“Jon Vick guided us through partnership options (hospital, corporate, other) and offered a realistic and understandable valuation methodology specifically for our center.”
“We have been very pleased with their work on our behalf and indebted to Jon Vick Inc. for helping us realize our goals regarding this sale.”
“I want to thank Jon Vick and Jason Winokur for your tireless support during the very time lengthy and complex transaction process. The courtesy which you consistently showed to the Buyers very definitely had a calming effect, and your professionalism led them to make several important concessions and us to ultimately realize an exceptional result.”
“I have had the opportunity to work with a lot of people in many different business situations. I’ve learned much and can say Jon Vick is one in a million. You’ll be fortunate to have him representing you.”
“I cannot thank Jon Vick enough for literally saving us from a disastrous situation to one that was extremely profitable as well as relatively stress free. As I told Jon, it was the best money I ever spent.”
“It is a privilege working with Jon Vick and Jason Winokur – and they are the BEST in the business – and they put their clients FIRST!”
