Medical Office
Medical office properties serve healthcare operators including ambulatory surgery centers, specialty physician groups, and urgent care facilities. These assets benefit from healthcare industry growth, insurance reimbursement support, and tenant stability. Medical office leases are typically longer-term (5-10 years) with built-in escalations and tenant improvement allowances.
Healthcare industry growth supporting tenant demand and rent growth
Long-term leases with healthcare operators providing income stability
Specialized building features supporting medical use
Resilient to economic downturns due to essential nature of healthcare services
Focus Areas
- Ambulatory surgery centers
- Specialty physician groups
- Urgent care and imaging
Frequently Asked Questions
What makes medical office properties suitable for 1031 exchanges?
Medical office properties qualify as like-kind replacement property when held for investment. They offer stable, long-term income from healthcare tenants, who typically sign longer leases and have lower turnover than general office tenants. The healthcare industry's growth and essential nature provide resilience during economic downturns.
How do you evaluate tenant credit for medical office properties?
We review physician group financials, insurance reimbursement structures, patient volume trends, and operational history. We assess tenant business model sustainability, market position, and lease renewal probability. For ASCs and specialty groups, we also evaluate regulatory compliance and accreditation status.
What building features are important for medical office properties?
Key features include adequate parking, flexible floor plans, specialized HVAC systems, plumbing for exam rooms and procedure areas, and compliance with healthcare regulations (ADA, HIPAA, etc.). We evaluate properties against these criteria and assess whether building features support medical use and tenant retention.
Can you help identify medical office properties within my identification window?
Yes. We work with brokers specializing in medical office properties and can quickly identify available assets matching your criteria. We provide property summaries, lease abstracts, tenant credit analysis, and market analysis to support your identification letter submission.
Related Property Types
Timeline Tool
Deadline Calculator
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- 45-day identification
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- 180-day completion
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Dates represent calendar days. Confirm with your Qualified Intermediary.
Compliance Guide
Identification Rules
Use this guide to determine how you will complete the identification letter.
Three-Property Rule
Identify up to three properties of any value. We document pricing support, lender feedback, and compliance notes for each Seattle, WA asset so your intermediary accepts the letter without revisions.
200 Percent Rule
Identify more than three properties as long as combined fair market value stays below 200 percent of the relinquished property value. We track valuation evidence for every property to prove compliance.
95 Percent Rule
Identify any number of properties and close on at least 95 percent of the aggregate value. This strategy supports diversified portfolios and DST placements when executed with strict tracking.
We coordinate with your intermediary, CPA, and counsel. We do not provide legal or tax advice.
Progress Tracking
Timeline Tracker
Monitor each milestone from sale to replacement closing.
Document sale terms, confirm intermediary wiring instructions, and deliver closing statements within twenty-four hours.
Keep your intermediary, CPA, attorney, and lenders updated.
Discuss Medical Office
Share your timeline, equity targets, and lender objectives. We respond within one business day.

