The Physician’s Guide to
Real Estate Sale-Leasebacks

Cash Out of Your Real Estate While Still Maintaining Control

When most physicians consider selling their professional real estate, they often wait until retirement is on the horizon.

That means they almost always overlook the near-term option of increasing cash flow, reallocating capital into higher returning assets or expansion efforts, or cleaning up their balance sheet – the strategic Sale-leaseback.

A Strategic sale-leaseback takes both the potential sale of your ASC business and the sale-leaseback of your real estate into account so as to maximize the total value of both assets.

ASC Realty Advisors pioneered the Strategic sale-leaseback model to find innovative ways to offer physician-owners a powerful strategy to unlock the equity in both their ASC business and real estate while maintaining full operational control through a long-term lease.

Most importantly, It allows you to transform the 2-3% annual returns on your medical real estate into operational and financial investments that could potentially earn 10% or more.

The key component in a Strategic sale-leaseback lies in structuring the lease terms. Investors seek stable, long-term returns, typically preferring lease commitments of 7-10 or more years. The longer and more secure the lease terms, the higher the property valuation and sale price.

Some of the near-term benefits of a sale-leaseback are:

  • Immediate access to capital

  • Capital to pay down debt, expand or renovate the ASC

  • Maintain operational control

  • Tax benefits

Long-term, strategic advantages include the ability to :

  • Lock in favorable lease terms when you have maximum leverage

  • Maintain operational control during your remaining practice years

  • Create a clear succession plan for eventual practice transition

  • Optimize the property’s market value before any strategic practice sale

While we are advising on a strategic transaction, our team will also guide you through every aspect of a real estate sale-leaseback structuring, from initial valuation through lease negotiation and transaction closing. We leverage our deep market knowledge and extensive investor relationships to secure optimal terms that align with your long-term professional and financial objectives.

That means they almost always overlook the near-term option of increasing cash flow, reallocating capital into higher returning assets or expansion efforts, or cleaning up their balance sheet – the strategic Sale-leaseback.

A Strategic sale-leaseback takes both the potential sale of your ASC business and the sale-leaseback of your real estate into account so as to maximize the total value of both assets.

ASC Realty Advisors pioneered the Strategic sale-leaseback model to find innovative ways to offer physician-owners a powerful strategy to unlock the equity in both their ASC business and real estate while maintaining full operational control through a long-term lease.

Most importantly, It allows you to transform the 2-3% annual returns on your medical real estate into operational and financial investments that could potentially earn 10% or more.

The key component in a Strategic sale-leaseback lies in structuring the lease terms. Investors seek stable, long-term returns, typically preferring lease commitments of 7-10 or more years. The longer and more secure the lease terms, the higher the property valuation and sale price.

Some of the near-term benefits of a sale-leaseback are:

  • Immediate access to capital

  • Capital to pay down debt, expand or renovate the ASC

  • Maintain operational control

  • Tax benefits

Long-term, strategic advantages include the ability to :

  • Lock in favorable lease terms when you have maximum leverage

  • Maintain operational control during your remaining practice years

  • Create a clear succession plan for eventual practice transition

  • Optimize the property’s market value before any strategic practice sale

While we are advising on a strategic transaction, our team will also guide you through every aspect of a real estate sale-leaseback structuring, from initial valuation through lease negotiation and transaction closing. We leverage our deep market knowledge and extensive investor relationships to secure optimal terms that align with your long-term professional and financial objectives.

ASC Realty Advisors pioneered the “Strategic sale-leaseback” model to find innovative ways to maximize the combined value of your real estate and practice