Main Content
Investment
Clinical Intelligence
Assignment-Driven.
Pre-Leased. Built for
Strong LP Returns.
An institutional medical real estate investment platform built on one thesis: the strongest risk-adjusted returns come from assignment-driven, pre-leased assets with long-term NNN leases and strong medical tenants — sourced through clinical relationships no generalist investor can replicate. Value-add returns. Core-plus risk. A great opportunity for physician co-investors alongside institutional LPs.
15–20%
TARGET IRRValue Add
RISK PROFILE12+
AVG WALT (YEARS)2.5x
TARGET EQUITY MULTIPLEINVESTMENT THESIS
Value-Add Returns.
Core-Plus Risk. Built on Medical Tenancy.
DEFENSIVE. LONG-DURATION. DEMAND-DRIVEN.
Medical tenants are among the most durable in commercial real estate. Practices build patient bases tied to location. Health systems anchor outpatient facilities for decades. CON constraints limit supply. Aging demographics drive demand regardless of economic cycle. Long WALTs, low vacancy, predictable cash flows.
DEFENSIVE. LONG-DURATION. DEMAND-DRIVEN.
Medical tenants are among the most durable in commercial real estate. Practices build patient bases tied to location. Health systems anchor outpatient facilities for decades. CON constraints limit supply. Aging demographics drive demand regardless of economic cycle. Long WALTs, low vacancy, predictable cash flows.
MEDICAL OFFICEBUILDINGS
AMBULATORYSERVICE CENTERS
IMAGING CENTERS
SINGLE TENANTFACILITIES
MICROHOSPITALSRETURN PROFILE
Opportunistic Returns.
Institutional Discipline.
We target value-add returns through development, lease-up, and repositioning — while maintaining a core-plus risk profile anchored by pre-leased assets, strong medical tenancy, and long-duration NNN leases.
THREE INVESTMENT STRUCTURES
SPE's. Programmatic JV's.
Physicians Fund.
Three structures. All accessing the same assignment-driven, pre-leased deal flow. All structured for value-add returns with core-plus risk. Choose the structure that fits your profile.
STRUCTURE 01 SPEs — Project-Level
Direct asset exposure · Full transparency
- Single-purpose entity per assignment-driven development or acquisition
- Pre-leased before capital deployment — clinical tenant committed at day one
- Health system or strong medical group NNN lease security
- Physician co-investment alongside institutional LP capital
- 15–25 year NNN leases, investment-grade tenancy at structure
- Best for:family offices, physician-investors, deal-by-deal discretion
STRUCTURE 02 Programmatic JVs
Institutional scale · Consistent deployment
- Multi-project JV — institutional LP capital at scale
- TCG originates clinical assignments and structures all development Proprietary off-market
- pipeline — no public market competition
- Building what is needed: MOBs, ASCs, adaptive reuse, value-add
- Full-cycle management — TCG develops, leases, and manages every asset
- Best for:PE, institutional LPs with deployment mandates
STRUCTURE 03 Physician's Fund
Physician co-invest · Pooled exposure
- Diversified vehicle across Northeast medical outpatient projects
- Assignment-driven and opportunistic value-add across the portfolio
- Physicians invest in buildings they occupy — below-market lease + equity
- Preferred IRR and promote structures for all LP investors
- Quarterly LP reporting and full fund administration
- Best for:physicians building wealth + institutional LP diversification
Full-Cycle Platform We Manage the Entire Lifecycle.
Clinical Investment is not a capital-raise business that hands off to a third party. We manage from acquisition through disposition — and that integration protects LP capital and drives returns.
ASSET MANAGEMENT
Full-cycle oversight from acquisition or delivery through disposition. Quarterly LP reporting and fund administration. Portfolio performance monitoring, lease management, and strategic optimization at the asset level. We manage assets with the same clinical intelligence we used to source and build them.
PROPERTY MANAGEMENT
Day-to-day operational oversight across the medical portfolio. Tenant relations, lease administration, vendor coordination, and performance reporting. Medical tenants have specialized operational requirements — NNN structures, clinical TI, regulatory compliance — that generalist managers miss.
CAPITAL MARKETS
Debt placement across the full capital stack — construction, bridge, and permanent financing. GP/LP equity structuring and JV formation. Sale-leaseback advisory, preferred equity placement, and REIT relationships for recapitalization and disposition events.
DISPOSITION
Confidential, competitive processes targeting REITs (Welltower, Ventas), healthcare-focused PE, and 1031 exchange investors — the buyers who pay the highest multiples for credit-tenanted medical facilities with long WALT. Our disposition network is built through the same clinical relationships that source acquisitions.
INVESTOR INQUIRY Request an Investor Overview
We work with a select group of institutional partners and physician investors. Tell us about yourself and we'll follow up with the right overview — structure detail, current pipeline, and return targets.
For qualified investors only. This inquiry does not constitute a solicitation for investment or an offer to sell securities. Opportunities subject to availability.
Ready to Explore Healthcare
Real Estate Investment?
Assignment-driven. Pre-leased. Value-add returns with core-plus risk. We work with institutional LPs, family offices, and physician investors who want proprietary access to a real estate category that performs.