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Arliga Capital Advisors
  • Home
  • Our Services
  • About Us
  • Sample Engagements
  • Publications
  • Medical Properties

Direct Investment

Arliga Medical Properties

Arliga Medical Properties (AMP) acquires mission-critical, single tenant medical office properties that provide investors with durable cash flow, inflation protected yields and significant capital preservation. 


We focus on high acuity, outpatient clinical assets with a total capitalization between $10 million and $30 million, a sweet spot that avoids the credit risk of small scale operations and the aggressive pricing of mega-institutional portfolios.


AMP's leadership has been responsible for over $5 Billion of commercial real estate transactions and brings a deep pedigree in sourcing, underwriting, structuring and asset management. 

Defensive Alpha

Our strategy is built on the Inelasticity of Demand. Unlike traditional office space, healthcare providers require extremely specialized, high-cost buildouts and localized patient referral networks, leading to tenant retention rates that significantly exceed other commercial property types. 


  • The Outpatient Shift: AMP capitalizes on the systemic migration of high margin surgical and specialty services from expensive hospital campuses to decentralized, accessible clinical settings.
  • Recession Resilience: Healthcare spending is need based. Our target assets maintain occupancy and rent collection even during times of economic stress.
  • Demographic Momentum: With the 65+ demographic set to double by 2060, we target markets with high and growing acuity demand, ensuring long term residual value.

Strategic Focus

AMP operates in the Institutional Gap targeting assets between $10MM and $30MM of total capitalization.


This price point is often too large for individual private buyers but falls below the radar of the largest healthcare REITs. This allows us to:


  • Secure higher yields than larger portfolio trades.
  • Implement a portfolio aggregation strategy, creating value by bundling single-asset acquisitions into a curated, institutional grade portfolio.
  • Focus on high-acuity tenants: Ambulatory Surgery Centers (ASCs), Oncology, Dialysis, and Pediatric Specialties.

Acquisition Profile and Investment Mandate

AMP focuses on: 


  • Asset Type:  Single tenant, NNN Medical Office / Outpatient Clinics.
  • Geography:  High growth Sunbelt metros and established Northeast corridors (e.g., NY, WI, TX).
  • Tenant Profile:  Health systems, dominant multi-specialty physician groups, or PE-backed clinical platforms.
  • Lease Term: 10–15 years with 2%–3% annual contractual escalations.


AMP's investment structure is designed to prioritize investor distributions, with a focus on:


  • Quarterly Cash Yields: Predictable income distributions.
  • Capital Preservation: Low leverage (60–65% LTV) structures to protect equity.
  • Exit Flexibility: A 5-to-7-year hold period with multiple exit options via individual property sales or portfolio recapitalization.


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