MEDICAL OFFICE PROPERTIES
Financial support for medical office property owners
Medical office buildings come with sophisticated healthcare tenants, complex leases and shared operating costs that general bookkeepers rarely understand. We bring years of hands-on experience with exactly these properties.
Common challenges for medical office owners
Healthcare tenants
Hospital systems and medical groups review CAM line by line, often with their own lease auditors. Reconciliations must hold up to that scrutiny.
Complex leases
Annual escalations, caps on controllable expenses, exclusions for capital projects and maintenance obligations. Missing one clause costs money, in either direction.
Shared operating costs
Utilities, taxes, insurance and maintenance often can’t be split by square footage alone. Each cost needs the right allocation and documentation.
TENANTS WE KNOW
Experience with the tenants in your building
We have prepared reconciliations, recharges and reporting for buildings leased to these types of healthcare tenants.
Hospital systems
Detailed CAM reviews and caps on controllable expenses. We prepare reconciliations built to be audited.
Ambulatory surgery centers
Heavy utility use, around-the-clock HVAC and specialized buildouts that call for careful cost allocation.
Dental groups
Corporate tenants with standardized leases and pro-rata CAM that must be clearly documented.
Veterinary hospitals
High water and utility use, separate allocation rates by expense type, and fair chargebacks when tenant-caused events occur.
REAL RESULTS
$73K
Four years of CAM recovered for a medical office owner
Rent was collected. CAM was not.
The 3% annual increases were never applied, estimated CAM was never trued up against actual expenses, and maintenance terms that shift repair costs to tenants were not enforced. We reviewed every lease, recovered four years of CAM totaling $73K, and standardized the leases going forward.
How we support your property
Lease administration
Lease abstracts, critical dates, rent schedules, escalations and caps, organized in one place and kept current.
CAM administration
Budgets, estimates and year-end reconciliations with supporting documentation your tenants can follow.
Financial reporting
Monthly property and owner reporting that shows how each building is performing, with clear next steps.
Financing & lender reporting
Lender-ready T-12s, NOI and debt service coverage analysis. Lenders underwrite medical properties differently from retail, and we prepare your numbers accordingly.
Vendor oversight
Contracts, itemized quotes and service performance tracked, so vendors are paid correctly and on time.
Tenant billing & follow-up
Invoices, statements and follow-up on outstanding balances, handled professionally and consistently.
Experience with medical office properties
Optimum Numbers is led by a finance executive with 25+ years of experience, including leading the finances of a distressed 17-entity portfolio, primarily medical office properties, through a court-supervised receivership and the transition to new ownership.
We understand the lease administration, CAM, reporting and financial controls that medical office owners, lenders and investors rely on to make confident decisions.
Start with an Operational Assessment
A focused review of your property’s financial records, leases, CAM process and vendor management, with a clear list of risks and improvements.
Leasing and other activities that require a Florida real estate license are coordinated through a licensed brokerage.
Own a medical office building? Start with a conversation.
A free 20-minute call. We’ll ask a few questions and tell you honestly whether and how we can help. Hablamos español.