Benefits of a Sale-leaseback

Many physicians who own their ASC and MOB real estate may be considering a sale-leaseback of their ASC/MOB real estate to take advantage of the increase in value of medical real estate and the benefits of a sale-leaseback.

These benefits include:

  1. Presents the opportunity to reset rents and facility expenses to increase EBITDA.
  2. Provides capital to modernize or expand the facility.
  3. Sellers can pay down existing debt and remove loan guarantees.
  4. Many real estate buyers will also pay for renovations, expansions and additional facilities as part of the transaction.
  5. Many real estate buyers will pay a premium for the real estate while allowing the physicians to be minority partners in the real estate.
  6. Sellers can take significant money off the table to invest in higher yielding investments.
  7. Greater liquidity – the higher yielding investments can be sold at any time.
  8. Capital gains taxes are less than tax on the ordinary income tax rate on your rental income.
  9. Sellers have the option to maintain full operating control over the facility.
  10. Makes it easier to add new partners and avoid conflicts between non-real estate owners and real estate owning physicians.
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Case Study: Sale-leaseback of Avala Surgical Hospital