Why Sale Leasebacks Are Heating Up Again in Healthcare Real Estate

Operators sitting on real estate are starting to get more strategic—and sale leasebacks are back on the table.

We’re seeing more behavioral health and specialty care groups quietly test the market for sale leaseback deals, especially if they’ve owned the property for five years or more. With interest rates still high and cash flow tightening, unlocking equity from real estate can provide the capital needed for expansion, debt reduction, or staffing investments.

And buyers are interested—especially if the tenant is strong. Healthcare real estate investors are hungry for credit-backed leases in high-demand sectors. They’re not just looking at hospital systems anymore. They’re looking at outpatient psych, MAT clinics, and group practices with growth trajectories.

The key is structure. Sale leasebacks only work if the rent is sustainable for the operator and still pencils for the investor. That takes planning. You’ve got to know your numbers, your valuation, and your long-term footprint goals.

Done right, a sale leaseback isn’t just a financial tool. It’s a growth strategy.

Thinking about selling but staying in place? Let’s walk through it.

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