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Unlocking the Value of Sale-Leasebacks for Medical Office Building Owners


In today’s evolving healthcare landscape, physicians and medical office building (MOB) owners are exploring new ways to maximize the value of their real estate while focusing on patient care. One strategy that has gained significant traction is the sale-leaseback model, which allows medical professionals to sell their buildings to an investor and lease them back long-term. This approach enables owners to unlock the capital tied up in their properties while continuing to operate from the same space, all without the burdens of property management.


Physician Property Partners (PPP), co-founded by Bob Waun of DIRT Realty, has embraced this model as a key part of its strategy. The firm offers physicians the opportunity to sell their buildings, reinvest as limited partners in a larger, diversified medical office portfolio, and benefit from economies of scale that deliver more efficient property management and enhanced building maintenance standards.


“The sale-leaseback model is a win-win for physicians. It allows them to free up capital, reduce financial risk, and ensure the long-term quality of their facilities—all while focusing on delivering patient care,” says Bob Waun. “At Physician Property Partners, we’re dedicated to innovation in every business we touch, and this approach allows us to deliver better outcomes for everyone involved.”


Economies of Scale Drive Efficiency

One of the core benefits of the sale-leaseback model is the ability to achieve economies of scale. When medical office buildings are managed within a larger portfolio, the cost of operations, maintenance, and capital improvements can be spread across multiple properties. This results in lower per-unit costs, more efficient use of resources, and improved tenant services.


For individual building owners, managing property maintenance, tenant relations, and ongoing capital expenditures can be expensive and time-consuming. By consolidating these services across a portfolio, PPP can leverage its size to negotiate better rates with vendors, implement streamlined management processes, and ensure consistent, high-quality maintenance.


“Doctors are great at running their practices, but managing real estate is a completely different challenge,” Waun explains. “When we bring a building into our portfolio, we’re able to use our scale to reduce costs and raise the standard of building management. It’s about efficiency and providing better service to both owners and tenants.”


State-of-the-Art Property Management

Physician Property Partners isn’t just focused on scale—it’s also committed to using cutting-edge technology to manage its growing portfolio of medical office buildings. PPP employs state-of-the-art property management systems, including artificial intelligence (AI) tools that help optimize building operations, monitor energy usage, and improve tenant satisfaction.


AI-driven systems can analyze data in real-time to predict maintenance issues before they become major problems, reduce energy consumption, and streamline communication between property managers and tenants. For medical practices, this means fewer disruptions, lower utility costs, and a more comfortable environment for both staff and patients.


“Technology is transforming the way we manage medical office buildings,” says Waun. “We’re using AI to ensure that our buildings are operating at peak efficiency, delivering value not just to our physician partners, but to their patients as well. It’s another way we’re pushing innovation in every aspect of our business.”


Higher Standards for Building Maintenance

With the sale-leaseback model, medical office owners are no longer responsible for the day-to-day upkeep of their properties. Instead, PPP takes over the responsibility for maintaining the building at the highest standards. This includes everything from routine maintenance and repairs to capital improvements and building upgrades.


For doctors, this means they can focus on their practice without worrying about whether the HVAC system is working or the parking lot needs repaving. PPP’s professional management team ensures that every building is maintained to top-tier standards, creating a more reliable and pleasant environment for patients and staff alike.


“Doctors want their facilities to reflect the quality of care they provide,” Waun explains. “We’re dedicated to maintaining every building in our portfolio at the highest standard, so physicians can focus on what matters most—their patients.”

Unlocking Capital and Reducing Risk

In addition to operational efficiencies, the sale-leaseback model allows medical office building owners to unlock the capital tied up in their real estate. Instead of holding a long-term, illiquid asset, physicians can access the cash from a sale and redeploy it into their practice, invest in other opportunities, or reinvest in PPP’s portfolio for long-term, passive income.

This approach also helps reduce the financial risk associated with owning and managing real estate. By shifting property ownership to PPP, physicians can protect themselves from potential downturns in the real estate market while still maintaining a long-term lease in the space they’re accustomed to.

“Our partners get the best of both worlds,” Waun says. “They can free up capital, reduce risk, and still remain in the facilities they know and trust. Meanwhile, we manage the buildings and ensure that they’re running efficiently and effectively.”

The Future of Medical Office Ownership

As the healthcare industry continues to evolve, more physicians are turning to the sale-leaseback model as a way to reduce the burdens of property ownership while maintaining the benefits of real estate investment. By partnering with Physician Property Partners, medical professionals can take advantage of economies of scale, state-of-the-art management, and a dedicated team focused on the long-term success of their practices.

“Physicians are at the heart of our business,” Waun concludes. “We’re here to help them unlock the value of their real estate, lower costs, and maintain the highest standards of care. Innovation is key to everything we do, and that’s why we’re leading the way in medical office real estate.”

In an industry where precision and efficiency matter, Physician Property Partners is creating a new path forward for medical office building owners—one that combines financial freedom, operational excellence, and cutting-edge technology.

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