100 Questions Every Medical
Real Estate Investor Must Ask
The Ultimate Due Diligence Checklist for MOB & Ambulatory Surgical Center Investments
Protect your capital. Evaluate deals like a sophisticated healthcare real estate investor.
Get the Free Checklist →Don't Invest Blind in Medical Real Estate
Most investors — including physicians — don't know what questions to ask when evaluating a Medical Office Building or ASC development opportunity. This comprehensive checklist covers every critical area of due diligence that sophisticated healthcare real estate investors use to protect their capital.
What's Covered
🏗️ Developer & Sponsor
15 QuestionsEvaluate the sponsor's medical real estate track record and healthcare project capabilities.
🏥 Facility Design & Operations
15 QuestionsAssess OR count, sterile design standards, medical gas infrastructure, and certification path.
💰 Loan & Capital Stack
20 QuestionsUnderstand construction debt, LTC, completion guaranty, and permanent financing terms.
🔍 Property Due Diligence
15 QuestionsAnalyze the site, CON status, zoning entitlements, and GMP contract structure.
📍 Market & Demographics
13 QuestionsResearch physician supply, patient demographics, payer mix, and competitive MOB supply.
📊 Financials & Projections
14 QuestionsReview NNN lease structure, stabilized NOI, IRR, and reimbursement risk scenarios.
⚖️ Legal & Deal Structure
8 QuestionsUnderstand investor rights, waterfall, preferred return, and reporting schedules.
⭐ Bonus Question
The Most Important OneThe question most medical real estate investors forget to ask themselves.
Sample Questions Preview
- 1 How many years has the developer/sponsor been specifically focused on ground-up medical office or ASC development?
- 17 What certification level is targeted — Medicare-certified ASC, AAAHC, Joint Commission accreditation, or MOB only?
- 31 What is the total loan-to-cost (LTC) for this ground-up development?
- 52 Is the site in a Certificate of Need (CON) state, and if so, has CON approval been obtained or applied for?
- 68 What is the age demographic of the population — is there a high proportion of Medicare-eligible patients?
- 91 Has the sponsor stress-tested the impact of CMS reimbursement rate changes on facility operator revenue and rent-paying ability?
Get the complete interactive checklist with all 100 questions,
answer fields, progress tracking, and PDF export.
Ready to Invest in Medical Real Estate with Confidence?
Get instant access to the complete 100 Questions Medical Office & ASC Due Diligence Checklist
Leave Your Info below for immediate access.