Broker Opinion of Value · Medical Office

Free Medical Office Broker Opinion of Value (BOV) Template: PowerPoint, Google Slides & AI

A medical office broker opinion of value laid out for the owner: price estimate first, then the comps and income that support it, using the method that fits medical office property.

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What makes a medical office BOV different

Medical office tenants invest heavily in build-out and tend to stay, but their space is costly to re-let. Buyers look at specialty mix, tenant tenure, campus affiliation and unamortized improvements, so the document organizes the roster by specialty and documents the healthcare context.

That is why this template does not reuse a generic deck. The questions owners ask first about medical office property are specific, and the document should answer them without being asked:

• Does my hospital affiliation raise the value, and how do you know?
• How do you value the specialized build-out my tenants paid for?
• Which comps have similar tenants?

The metrics owners look for

The summary page of this medical office BOV is built around six numbers. Show only the ones you can support with a source or a calculation.

• Price per SF
• In-place cap rate
• Occupancy
• WALT
• Health system affiliation
• Tenant improvement investment

The property-data table beside them covers: rentable building area (sf), campus proximity (on / adjacent / off campus), year built / renovated, parking ratio, specialized build-out (imaging, procedure rooms), expense structure.

The medical office-specific pages

Tenant Roster by Specialty

Columns: Tenant / practice, Specialty, Suite, SF, Rent per SF, Lease end, Physician count. State the as-of date and where the figures come from.

Healthcare Tenancy and Campus Context

Columns: Item, Detail, Source. Cite documents, not memory.

Comparables

Sale comps use these columns: Building SF, Year built, Sale price, Price per SF, Cap rate, Occupancy at sale, Health system tenant. Rent or rate comps use: Property, Campus status, Suite size, Asking rent per SF, Expense basis, TI package.

How a medical office BOV is supported

Income approach with tenant-level rollover; premium or discount to general office is supported by campus affiliation, tenant tenure and specialized build-out, not assumed.

A broker opinion of value is not an appraisal and is not a substitute for one where an appraisal is required. The template says so on the summary page.

Back it up: documents to have ready

A medical office BOV is only as credible as the documents behind it. Collect these before you publish figures.

Leases

• Leases with amendments and any ground lease with a health system: Affiliation and use clauses drive value
• Estoppels from each practice: Confirms term and any offsets

Compliance

• Written confirmation that leases were reviewed by healthcare counsel: Lease terms with referral sources can raise compliance issues
• Certificates of occupancy and state facility licenses where applicable: Use classification matters

Physical

• Medical gas, imaging shielding and specialized HVAC records: Specialized systems are costly to replace

Operations

• Tenant improvement history and unamortized balances: Specialty build-out raises renewal odds and replacement cost
• Parking utilization and patient access plan: Access is a leasing driver

Common medical office mistakes

• Treating medical office as general office without support
• Ignoring the cost of specialized build-out on re-lease
• Claiming a health-system affiliation that no document shows
• Skipping a note that leases need healthcare counsel review

Market data

The market page has rows for: submarket medical office vacancy, average asking rent per sf, hospital and health system presence, population age 65 and over, physician supply, outpatient care trend. Put the source and the date next to each one.

Use it with AI: Claude, ChatGPT, Gemini

Paste your deal facts and get a draft medical office BOV in this structure. The prompt uses only the facts you give it and marks gaps as [TBD].

You are a commercial real estate marketing analyst helping a broker draft a Medical Office Broker Opinion of Value (Medical Office BOV).

Draft the Medical Office BOV in the structure below. Use ONLY the facts I give you. Where a fact is missing, write [TBD: what is needed] instead of guessing.

STRUCTURE
1. Executive Summary: Price Estimate
   - Concluded value, low, high, effective date: [ ]
   - Price per SF: [ ]
   - In-place cap rate: [ ]
   - Occupancy: [ ]
   - WALT: [ ]
   - Health system affiliation: [ ]
   - Tenant improvement investment: [ ]
2. Property Overview and Photos
   - Rentable building area (SF): [ ]
   - Campus proximity (on / adjacent / off campus): [ ]
   - Year built / renovated: [ ]
   - Parking ratio: [ ]
   - Specialized build-out (imaging, procedure rooms): [ ]
   - Expense structure: [ ]
3. Tenant Roster by Specialty
   - Tenant / practice: [ ]
   - Specialty: [ ]
   - Suite: [ ]
   - SF: [ ]
   - Rent per SF: [ ]
   - Lease end: [ ]
   - Physician count: [ ]
4. Sale Comps Summary and Detailed
   - Columns: Building SF, Year built, Sale price, Price per SF, Cap rate, Occupancy at sale, Health system tenant
5. Rent Comps Summary
   - Columns: Property, Campus status, Suite size, Asking rent per SF, Expense basis, TI package
6. Income and Expenses
   - Current and proforma: [source and period]
7. Valuation Approach and Reconciliation
   - Method: Income approach with tenant-level rollover; premium or discount to general office is supported by campus affiliation, tenant tenure and specialized build-out, not assumed.
   - Weights and range: [ ]
8. Market Overview
   - Submarket medical office vacancy: [Value; source and date]
   - Average asking rent per SF: [Value; source and date]
   - Hospital and health system presence: [Value; source and date]
   - Population age 65 and over: [Value; source and date]
   - Physician supply: [Value; source and date]
   - Outpatient care trend: [Value; source and date]

RULES
- Use only facts the user supplied. Never invent property data, tenants, statistics, comps or quotes.
- If a fact is missing, write [TBD: what is needed] in its place.
- Every market statistic needs its source and date as given by the user; otherwise mark it [TBD: source and date].
- Show arithmetic for any figure you derive and flag it as calculated.
- Write in plain, factual US English. Avoid unsupported superlatives.
- Avoid this medical office mistake: treating medical office as general office without support.
- Avoid this medical office mistake: ignoring the cost of specialized build-out on re-lease.
- Avoid this medical office mistake: claiming a health-system affiliation that no document shows.
- Avoid this medical office mistake: skipping a note that leases need healthcare counsel review.
- Apply only the adjustments and cap rates the user supplies; if none are given, ask.
- State that a BOV is not an appraisal and is not a substitute for one where an appraisal is required.
- Leave confidentiality and disclaimer text as [Insert the brokerage's counsel-approved language].

BEFORE YOU DRAFT
If essential facts are missing, ask me up to 8 short questions first, then draft once I answer.
If I say "just draft it", draft now and list every [TBD] at the end.

OUTPUT
Return the Medical Office BOV as clean Markdown, one heading per section above, followed by a checklist of every [TBD] item and every number I should double-check against source documents.

MY DEAL FACTS
[Paste property details, financials, rent roll, comps, market notes and anything else here.]

Fill it from a real deal

With the IntellCRE MCP connector, your assistant can pull the property, its unit mix and rents, and its selected comps from IntellCRE before it drafts. Or let IntellCRE build the document from your deal files: try IntellCRE, free to start.

Frequently asked questions

Related templates

• All free Medical Office templates
• Medical Office Offering Memorandum template
• Broker Opinion of Value template for any property type

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