Questions For Those With Medical Office Building CRE In Portfolio
I am doing a ton of research putting together many potential avenues (I’m looking lifelong down the pipeline) as an investor. Anyways, I’m preparing to gear up soon and wrap up the diligence phase.

I have questions for anyone with experience doing exclusively medical office buildings as their niche. Leases, financing, underwriting, the works. I am also looking specifically to speak with those with experience in absolute triple net CRE investments in their portfolio.

Any chance there is anyone on this thread who has this experience and is willing to connect?

I’ve written a list of questions and would love to discuss with anyone open to sharing! Please DM me. Thank you! 🙏🏻
[{"id": "irhcmsq", "text": "This is one area where I have my interests too. Although I have not looked in any details of the parts that are involved. But if there is anyway I can shadow you in your research and hopefully learn a few things I am interested. Let me know if there is anything that I can help you with.", "replies": [{"id": "irimfwn", "text": "Hey absolutely! I am going to DM you. Happy to connect and learn together :)", "replies": [], "depth": 2}], "depth": 1}, {"id": "irhd5hq", "text": "This guy is going to end up with a Davita or Fresenius tenant in the Midwest.", "replies": [{"id": "irim7tt", "text": "I would also like to know if that\u2019s a bad thing or if you have any thoughts on it? Ideally no, not exactly the tenant I was initially thinking of or looking for. But I\u2019m investigating every single thing I can get my hands on and creating the list of pros and cons. So if you have any initial pros or cons off the top of your head to potentially consider for me in the consolidated list, I would like to hear them. Thank you!", "replies": [], "depth": 2}], "depth": 1}, {"id": "irhfbnm", "text": "I\u2019m a commercial lender that finances CRE including medical office buildings. Not sure if I\u2019m exactly who you are looking for but I\u2019m happy to answer any questions regarding financing that you may have.", "replies": [{"id": "irioo5s", "text": "I am going to DM you right now! THANK YOU EVERYONE \ud83d\ude4f\ud83c\udffb\n\nHey is anyone going to the BOMA Conference in April in Chicago?", "replies": [], "depth": 2}], "depth": 1}, {"id": "irhg0nl", "text": "I\u2019m your guy. This is my expertise Joe R. My cell 312-953-3553 .", "replies": [], "depth": 1}, {"id": "irhgm1e", "text": "I work at a PE MOB firm, feel free to DM me!", "replies": [{"id": "irims70", "text": "Hey wow you guys are all so helpful thank you so much, I will be reaching out!", "replies": [], "depth": 2}], "depth": 1}, {"id": "irhjc3u", "text": "I lend on and have several high rise and mid rise MOBs in our portfolio, happy to answer a few questions.", "replies": [{"id": "irinbc8", "text": "Going to DM you right now!", "replies": [], "depth": 2}], "depth": 1}, {"id": "irhk3rv", "text": "I'm a landlord and agent that deals primarily with medical offices.", "replies": [{"id": "irio7sv", "text": "Awesome! I am going to DM you!", "replies": [], "depth": 2}], "depth": 1}, {"id": "iri4t8h", "text": "I do exclusively medical on the PM side for a Healthcare REIT.  All manner of lease structures.", "replies": [{"id": "irin4z8", "text": "That would be so helpful too. I\u2019m going to DM you. I have a lot of questions more related to upkeep and code if there\u2019s anything there you might be generally in adherence to that I wouldn\u2019t know. Of course with a grain of salt, knowing that regionally things could differ.", "replies": [{"id": "iriqb4t", "text": "Happy to help", "replies": [], "depth": 3}], "depth": 2}], "depth": 1}, {"id": "iri71qi", "text": "I\u2019m a broker in augusta ga. If you need medical office space here let me know.", "replies": [{"id": "irio62t", "text": "Have not begun any location-specific research, just generally have so much data to gather here. But good to know, thank you! I had hoped to start in the NE but am willing to stay open minded.", "replies": [], "depth": 2}], "depth": 1}, {"id": "irij4uh", "text": "Me.", "replies": [{"id": "irio1x1", "text": "Hi! What is your area of expertise? I would like to tailor some specific questions if possible. Thank you!", "replies": [{"id": "iriwej4", "text": "Triple net leases at medical buildings. Transaction management. Asset management. Facilities management. 13 years. \n\nI\u2019m now studying to become commercail real estate APPRAISER", "replies": [{"id": "iwma0t7", "text": "If you had to pick between NNN lease with a hospital (building is adjacent to it) or 3 separate tenants for the space which would you choose.  Currently have a 7k building that has 3 spaces.  I am meeting with the hospital and also have interest from a home health company and another medical practice (competitor with the hospital).", "replies": [{"id": "iwmpqrb", "text": "I would put 3 triple net tenants in three spaces at that building. Diversify where your rent comes from Install managing a triple net lease as a property manager.", "replies": [{"id": "iwmuldj", "text": "With the 3 NNN leases how do you determine the cost of maintenance?  Are you having them only maintain the interior and 33.3% of taxes and their own insurance?  What would be the minimum lease term you would accept?  What price per sq foot are you charging annually?  I know markets very but wondering if there is a rule of thumb in terms of percentage reduction for a NNN lease vs single net or standard lease for the extra cost the tenant takes on.", "replies": [{"id": "iwn2tmy", "text": "I do consulting on this, you can send me a DM if you\u2019re interested in my services. \n\nOtherwise you wanna Google or look up \u201cpro rata share\u201d And common area maintenance. \n\nYou charge the maintenance, property management fee and all other common area associated areas like the parking lot to each tenant based on how much square footage they occupy. In your example you\u2019re assuming all three tenants have the same amount of square footage of the total building. \n\nIn math practicality one Tenant could take up 50% of the space, and the two other tenants could each take up 25% of the space but the two smaller ones don\u2019t want to be charged a third for occupying less than a third of the building.\n\nOr maybe someone else will get into the weeds with you here, but for your market/situation  etc. you definitely want a professional to help you. I\u2019m not trying to advertise but we do lease negotiations, we provide you a lease abstract so you don\u2019t have to go through a 25 page lease to look up anything, we do lease auditing to make sure landlords are getting the most they can get and triple net money, and we give you action deeds and items so you have a clear list of when your rent escalations need to occur, when renewals need to happen as they approach the end of their term, and when they owe you certificates of insurance. I try to make it easy for landlords , good luck!", "replies": [], "depth": 7}], "depth": 6}], "depth": 5}], "depth": 4}], "depth": 3}], "depth": 2}], "depth": 1}, {"id": "irishp1", "text": "I do acquisitions and development for a Medical focused PE group.  Happy to connect.", "replies": [{"id": "iritx6m", "text": "Absolutely. Thank you! I am going to DM you right now!", "replies": [], "depth": 2}], "depth": 1}, {"id": "iriu65l", "text": "I\u2019m an attorney for several PE groups who buy in this space. Lease terms are all over the place. \n\nBest to get the Fresenius, Da Vita etc but know what is a good location.", "replies": [{"id": "iriuwuh", "text": "Hi thank you so much for your comments! Is it easier to consolidate a list of specifically bad locations? And are there a few places off the top of your head you could suggest potentially staying away from + why? \n\nThank you for your help!", "replies": [], "depth": 2}], "depth": 1}, {"id": "irmnokb", "text": "I just bought a medical single tenant absolute triple net leased property, my first.  We should chat.", "replies": [{"id": "irmqmta", "text": "DMing you now! :)", "replies": [], "depth": 2}], "depth": 1}, {"id": "irzy08c", "text": "I\u2019m a lender with experience underwriting the whole gamut of \u201cmedical office\u201d.", "replies": [{"id": "isaisx5", "text": "Do you have any suggestions on educational resources on this I could look into? Either underwriting in general, lending/leveraging creative lending strategies, or medical office space specifically? Or a list of questions I ought to be aware of during due diligence that I should know to ask about? Any of this information would be awesome!", "replies": [], "depth": 2}], "depth": 1}, {"id": "is46khg", "text": "I\u2019m a CRE agent that specializes in medical offices\u2026primarily leasing but have knowledge in sales. Typically do multi-tenant medical buildings so absolute NNN is not my strong suite as those are more single tenant spaces", "replies": [{"id": "isajesr", "text": "Interesting. How many tenants on average are in just (1) of your buildings? If you could help in any way with a list of terms to watch out for or to be sure get included in this medical office building leasing space, I would very much appreciate it! Or just any advice whatsoever you think a new person ought to know/wish you knew yourself when you just started. Thank you!", "replies": [], "depth": 2}], "depth": 1}]