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EVANSTON / MEDICAL OFFICE / COMPLETED SALE / 2018

ACCESS Medical: healthcare investment sale

A renovated healthcare property brought together specialized tenant requirements, investment income, and financing dependencies.

Transaction
$5.3M reported · completed 2018
Property
Approx. 12,050 SF · Evanston
John’s role
Seller representation & transaction coordination
ACCESS medical office exterior on Howard Street in Evanston
Historical photograph from the property’s sale marketing materials.

Understand the financial layers.

For a healthcare property, a rent headline does not explain the full transaction. Lease charges, improvement financing, expense responsibilities, debt, and lender transfer requirements need to be read together.

SEE THE WHOLE FINANCIAL STRUCTURE

One property. Several layers to understand.

  1. Lease incomeBase rent, improvement-related rent, and other charges.
  2. Operating obligationsExpense responsibility, reimbursements, and reserves.
  3. Debt & transferLoan terms, lender consent, and the obligations that follow a sale.
  4. Closing certaintyEstoppels, diligence, approvals, and the final funds flow.

An underwriting framework informed by the historical ACCESS Medical engagement. Evaluate each layer against the property’s current documents.

The challenge

Present the investment merits of a single-tenant medical office building while accounting for its lease structure, specialized buildout, and financing assumptions. The approximately 12,050-square-foot property was occupied by ACCESS Community Health Network.

John’s role

Seller representation and transaction coordination, bringing lease economics, tenant considerations, lenders, and professional advisors into the diligence and closing process.

The result

The sale closed in 2018. REBusinessOnline reported the transaction at approximately $5.3 million and identified John as the broker. Historical lease and financing terms are described here as transaction considerations, rather than current investment offerings.

What this experience brings to your decision

Healthcare real estate calls for attention to the tenant’s operation as well as the investor’s income model. Paladin helps owners and buyers evaluate these connected requirements.

Which details can change the value?

Paladin’s medical-office experience informs a broader underwriting method: test each income stream, obligation, and exit assumption separately before combining them into the investment case.

Value driverWhy it matters to an owner or buyer
Income durationBase rent, improvement repayments, and other charges may have different end dates. Time-limited income needs its own schedule.
Expense responsibilityA reimbursement or reserve is different from unrestricted income. Maintenance, structural work, and other retained obligations affect the owner’s position.
Debt & repaymentLoan maturity, amortization, prepayment costs, and assumption requirements can affect both the funds needed and the ability to close.
Collateral & depositsPledged funds and tenant deposits carry obligations. They should be tracked separately from distributable cash and sale proceeds.
Options & exit valueRenewal, purchase, and first-offer provisions can change future choices and the way a buyer evaluates the investment.
Closing evidenceSigned amendments, tenant confirmations, lender consents, and the final closing ledger should support the assumptions used in the model.

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