Montecito Medical Real Estate is a privately held medical office building acquirer and operator founded in 2006 and headquartered in Nashville, Tennessee. The company focuses on acquiring premier medical office properties valued between $4 million and $150 million through traditional purchases and sale-leaseback transactions with physician groups, health systems, and developers. Montecito has structured its investment approach around its Provider Real Estate Partnership (PREP) program, which allows physicians to retain minority ownership stakes in properties after sale on a tax-deferred basis while receiving monthly income distributions. The firm targets medical office buildings, ambulatory surgery centers, and imaging facilities, maintaining a portfolio occupancy rate of approximately 98%. Since inception, Montecito has completed more than $6.5 billion in medical real estate transactions across 38 states, with more than 300 assets totaling over 10 million square feet. The company maintains $1 billion in available capital for acquisitions and has achieved an internal rate of return of 24.8% since 2006. In 2025, Montecito completed 24 acquisitions totaling more than 1.15 million square feet across Florida, Texas, South Carolina, Rhode Island, New York, Georgia, Indiana, Minnesota, Arizona, Ohio, and California. Major tenants include health systems such as Tallahassee Memorial HealthCare, CHRISTUS Health, Aurora Health, and specialty physician groups including OrthoCarolina, Incyte Diagnostics, and Eye Consultants of Atlanta.