Montecito Medical Real Estate is a privately held firm founded in 2006 and headquartered in Nashville, Tennessee. The company has grown to become one of the largest acquirers of medical office buildings in the United States, with a portfolio spanning 40 states and more than $6.5 billion in acquisitions to date. Montecito focuses on acquiring, managing, and funding the development of outpatient healthcare real estate, including medical and veterinary office properties. The firm operates a physician-centric business model that structures sale-leaseback transactions and takeout financing arrangements, allowing healthcare providers to unlock capital while maintaining operational control. Through its proprietary Provider Real Estate Partnership (PREP) program, sellers can retain a minority ownership stake in their properties after sale on a tax-deferred basis, creating co-investment opportunities.