Built a $10M+ healthcare real estate brokerage team in 4 years. Sold $2.5B+ of real estate. Sharing my thoughts on real estate investing, markets, and business.

Los Angeles, CA
A client of ours has hacked dental real estate. He owns 25+ dental practices, and has made ~$10M in the last 24 months. Just from the real estate. He buys vacant buildings, plugs in his practice, and flips them as sale leasebacks. Buy. Rent. Repeat.
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Let me get this straight. I have to order my breakfast at the counter. I have to pick up my coffee from the counter. I have to get my own utensils and napkins. & I have to bus my own dishes. There is literally no service and this cafe’s tip options are: 25%, 27.5%, 30%. I typically would give 20%. But now am going to give 10% just out of principle. Someone call the feds. This is a racket!
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A client of ours has hacked dental real estate. He owns 25+ dental practices, and has made ~$10M in the last 24 months. Just from the real estate. He buys vacant buildings, plugs in his practice, and flips them as sale leasebacks. Buy. Rent. Repeat.
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One of my friends used to work with Ryan Serhant years ago. I asked him, "What is the one thing he would do that separated him from his competition?" His answer was actually unique, unlike the usual 'he came in early,' or 'worked hard.' He said, "He had a thing where he had to get back to every single person that reached out to him. It didn't matter who it was. If they called or emailed him, he had a rule that he had to respond."
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Met with an oral surgeon last week. His practice does $15M in revenue, and operates at a 55% net margin. He just sold his practice for 9X EBITDA, & will sell his facilities for ~$9M with new leases in place. Real Estate + Practice Sale = ~$100M. #dontforgettofloss
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Had a buyer call me earlier needing to buy $40M worth of real estate before next year. He needs the write-offs to offset a massive capital event that took place a few months ago. That capital event was the sale of his veterinary practice. He sold 55% of it for $140M...
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We have a client that buys ophthalmology practices. He buys the RE through a PropCo and leases each practice to an OpCo. The business will trade at 10x-15x EBITDA. The real estate will trade at 15x rent. It’ll be a multi 9-figure exit. Real life monopoly. 💰
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We have a client that’s a dentist. This year he’s going to sell his real estate and practice. We’ll first sale-leaseback his buildings for ~$22M. Then he’ll sell his practice to PE for ~$84M. That’s ~$106,000,000…🤯 Entrepreneurship in healthcare is beautiful.
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If you’re worth $10 million, you do not have $10 million in cash. Most of the time you won’t even have $5 million in cash. It’s crazy how many on here have no idea how money works.
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One of my family friends is a billionaire. He owns thousands of apartment units. He has one golden rule of investing: Never buy anything for more than 80% of what it's worth.
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Our dentist clients are by far our most entrepreneurial. Case in point: One recently engaged an investment banker to sell his practice. They valued it at ~$120,000,000.
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Imagine projecting your practice was going to do $3.5M in topline and it ends up doing $12M. Vet clinics are undefeated.
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Positive leverage in real estate is when your cap rate is higher than your debt constant. It isn’t just when your cap rate is higher than your interest rate. I hear investors make this mistake a lot. Let’s say you buy a deal at an 8.00% cap and let’s say your debt is at 6.5% on a 25 year AM. You aren’t positively leveraged in this situation. Taking on debt is supposed to enhance your cash on cash returns beyond the cap rate, not the other way around. The debt constant at the terms above is actually 8.102%. In order for the deal to be positively leveraged, your cap rate must exceed your debt constant!
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If I had $10M to spend on healthcare real estate, I'm buying an ambulatory surgery center (ASC). Here's why: 🧵
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We're selling a drug and alcohol rehab facility that is doing $19M in top line. Yes, $19M. The only downside is the real estate is exactly what you would expect for a detox facility. Low density, low incomes, and miles away from a major city. We're at nearly an 8% cap rate for a 15 year deal. Absolute NNN with 3% annual rental increases. Can someone tell me why anyone would buy a flat lease Dollar General over this?
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Less than half of all pet owners have pet insurance. This means that more than half of them pay direct in cash. To give you an idea of how much some of these clinics generate… There’s a VC-backed veterinary emergency company that averages $2M in ebitda per location; within the first 12 months of opening a new location!!!
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Our dentist clients are by far our most entrepreneurial. Case in point: One recently engaged an investment banker to sell his practice. They valued it at ~$120,000,000.
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The next PE-fueled boom? Behavioral health. Get this. Action Behavior Centers recently sold for $840M. That’s a 14x multiple. Autism clinics. Over 100 of them. Craziest part? Their first clinic opened in 2016.
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8/17/15 - 1st day of brokerage 7/10/16 - 1st deal sold (11 months) 12/5/17 - 25th deal sold (28 months) 11/29/18 - 50th deal sold (39 months) 12/20/19 - 100th deal sold (52 months) 11/5/20 - 200th deal sold (63 months)
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Here's how the game goes... 1) Start a PE firm 2) Seed a platform practice at 10x ebitda 3) Buy "tuck-in" practices at 5x ebitda 4) Immediately double each bolt-on practice's value (5x --> 10x) 5) Sell the entire platform for 15x ebitda Buy. Buy Some More. Sell. Repeat.
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Can't wait for Saagar to have his own show one day, he'd kill it!
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We just did a dental deal at a 10 cap. The buyer extended the lease to 10 years, & it’s now worth a 6 cap. 400 bps of spread. All from having a prior relationship with the tenant. Information arbitrage is beautiful.
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"Pigs get fat, and hogs get slaughtered!" Imagine having 7-Eleven at the table and blowing a development deal because you "had to win." Well, this happened to an investor in Florida. He thought he could bully 7-Eleven because he had the best corner on the intersection. Their standard increase structure is 10% every 5 years. He knew this, but didn't care. He wanted 3% annual. After weeks, 7-Eleven had enough. They told him to take it or leave it. He was convinced they needed his location, and that they were bluffing, so he refused. He paid the price. 7-Eleven cut bait, and went across the street. You would think he learned his lesson after this, but he didn't. A few months later, he decided to put his land up for sale. $2,200,000. It sat for months. In comes our client, months later, offering $1,600,000. It was the only offer the owner had received. What did he do? He countered at $2,200,000. Our client didn't need to buy it, and knew that nobody else was interested. He warned the seller that his pricing would change. 18 months later our client ended up buying the property. For $650,000. He made a killing on it.
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“Don’t call my client!” is the weakest statement you can make as a broker If they’re truly “your client” it shouldn’t matter who calls them Call any of mine If they choose you over me they were never my “client”
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We purchased this Circle K gas station a few years ago for $1,450,000. We wrote off $1,160,000 of income in Year 1. As a result, we saved ~$430,000 in taxes that same year. Our down payment was effectively FREE. Bonus depreciation is beautiful.
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Here's how the game goes... 1) Start a PE firm 2) Seed a platform practice at 10x ebitda 3) Buy "tuck-in" practices at 5x ebitda 4) Immediately double each bolt-on practice's value (5x --> 10x) 5) Sell the entire platform for 15x ebitda Buy. Buy Some More. Sell. Repeat.
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JLL said the quiet part out loud: The company comes before the broker, and in @BobKnakal’s case, so does its brand. I suspect many brokers at JLL with high ambitions & long term mindsets will be out of there ASAP! I know I would.
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I was talking to an ophthalmologist who just sold his practice for a 10x He knew I sold veterinary RE, so asked about that market Told him I know vets who sold practices for 20x An eye doc who’d just printed $30M, couldn’t believe what he was hearing The vet space is insane
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Replying to @JamsomSiger
Whatever happened to the days where you had to earn your tip?!
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Imagine a situation where: 1) Your rent roll has decreased by 50%+ 3) Interest rates have been jacked up quicker than anytime in history 4) Your loan is coming due, & no one is there to refinance it 5) There are no buyers for your building This is the story of Office in CRE
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A buyer we're selling a $10M deal to just hit the jackpot. He owned 30 acres of land. A data center developer offered him $90M for all 30--$3M an acre. He didn't think twice and sold it. He already has $60M of CRE under contract. Legend 😂
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Replying to @realEstateTrent
Buyers 100%. The market hasn't moved as muchhhh as people think, and in proportion to the debt markets. It'll take some time
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I know people that work 9-5s that are richer than most brokers. I know brokers that are wealthier than most real estate developers. & I know people in their 20s that are more successful than most in their 50s. Your job, career, or age does not matter. Execution is everything.
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There’s a crisis in healthcare that nobody talks about. 🚨 It’s the severe lack of healthcare real estate development in the U.S. But HRE may have a savior… Retail developers. ⬇️
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Developers when buying a deal: “This deal’s way overpriced, the seller needs a reality check!” Developers when selling a deal: “List this at a 4 cap or we’re going with another broker!”
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Replying to @RepeGent
You are playing 3D chess
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I started tweeting as an experiment 3 months ago Since then I’ve had 40+ calls; with developers, VCs, healthcare founders, fund managers, and PE companies All from Twitter No other platform even comes close
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The thing that really gets me about @ArtemTepler's passing is that I would've never thought in a million years a guy like that would go the way he did. He was one of the more gritty and confident people on here, and I just felt like he was living life totally on his own terms. I didn't have many interactions with him, beyond occasional DMs/comments, and a random run-in at the grocery store, but I felt like I knew him through this app. His posts were super valuable, thought provoking, sometimes vulnerable, and personally for me, highly motivating. It was totally apparent he had such a strong zest for life, and his interest in self betterment (positivity, law of attraction, spirituality) really resonated with me. That's what saddens me. The fact that many times it is the toughest among us, who seem like they have it all under control, that are hurting the most inside. I started listening to this book he recommended a few months back by Jim Rohn, 'Cultivating an Unshakable Character.' I hope it brings everyone as much value as it has already brought me.
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Seller: "I would list it but I have a buyer who's going to offer on it, should be any day now..." Me: "That's great, we should have the buyer compete for it. Let's list it and bring their offer up." Seller: "I want to give this buyer a chance." Me: "Ok sure..." I check in multiple times over a couple weeks, the buyer doesn't come through. Have had this happen like 50+ times at this point. PSA to Sellers: It's rare that your off-market buyer is a) the best buyer for the deal and b) the most aggressively priced. I don't make the rules!
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I've never met someone who regretted building a real estate portfolio of singles and doubles. I have however met many who regretted never buying a deal, hoping for that eventual homerun. The homerun deal rarely ever comes. It's better to just start swinging.
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GM to everyone except ppl who put MBA in their signature block
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I know people that work 9-5s that are richer than most brokers. I know brokers that are wealthier than most real estate developers. & I know people in their 20s that are more successful than most in their 50s. Your job, career, or age does not matter. Execution is everything.
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Healthcare sale leasebacks are one of #CRE’s best kept secrets. The upside potential is great, and achieving it is simple. Best part, your tenant does all the work. 🧵
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If I were a developer, I would return every broker call I could. Even if I had to return 10 a week, I would do it. I know it sounds unrealistic. Even crazy. But just humor me for a second. For every 10 developers a broker calls, maybe 1 answers. Maybe 2 if you're lucky. Think about that. This means that just by answering the phone, you have separated yourself from 90% of the competition. Now think about what every broker's goal is. It's to have clients who'll give them recurring business. To not have to cold call forever. The good brokers are always on the hunt, looking for that deal that could earn them recurring developer business. And when they find that deal, you know who they're going to bring it to? The one that answered the phone. A pipeline of developments, a blend & extend, maybe a valuable capital partner. They'll bring it to the one who invested the time. Brokers live in a world of rejection. You shouldn't feel bad for them, they chose this life. Just recognize however that in a world full of rejection, brokers feel immense loyalty to the developers that consistently gave them the time of day. The smartest developers know this, and that's why they are the ones that get all of these inbound opportunities. The reality is that many of those calls won't amount to anything. A handful of them over the course of a career however will. I've seen developers make life-altering sums of money all because a broker brought them a tenant to develop for, or a massive value-add play. I'm not saying you won't be successful if you don't answer brokers calls. What I am saying though is that if you do, you can almost guarantee more success.
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Came across this scrolling through old photos. Matthews Retail Group in 2015. I must have ripped 150 cold calls that day based on how disheveled I look 😂 Thankful for our freedoms and ability to operate in the greatest economic system known to man: capitalism. Happy 4th! 🇺🇸
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We have a client that buys ophthalmology practices. He buys the RE through a PropCo and leases each practice to an OpCo. The business will trade at 10x-15x EBITDA. The real estate will trade at 15x rent. It’ll be a multi 9-figure exit. Real life monopoly. 💰
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Car wash deals were part of a depreciation bubble. They were selling for mid 4 caps last year. Why? 100% bonus depreciation. This year it's 80%. It'll be 0% in 4 yrs. The excess depreciation-fueled demand will soon wane and they will see some of the widest cap rate swings.
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If I had $10M to spend on healthcare real estate, I'm buying an ambulatory surgery center (ASC). Here's why: 🧵
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One way to make money in CRE brokerage: 1. Identify an underserved market 2. Research all property owners’ phone # 3. Cold call on properties >10k sq. ft. 4. Identify the top buyers in that market 5. Sell your deals to those top buyers Do steps 2-5 over and over and over again.
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Most private 1031 buyers aren't looking to monetize assets 3-5 years after acquisition. Their sole focus is on deferring capital gains taxes by reinvesting their funds into an asset that they could trust for the long-term. A "coupon-clipper." Institutional buyers can't believe trade buyers are still buying some deals in the 5 cap region, but they are. In many instances, these trade buyers are purchasing real estate with zero to little amounts of debt, and just want a steady check from a quality tenant, that they don't need to manage. The depreciation and modest rental growth is enough for them, just how steady returns from a mutual fund are acceptable to a large cohort of investors in this country. The point is that these prices may not make sense to investors who target double-digit IRRs and value creation, but do for thousands of investors who are what you'd call "retail investors." For groups looking to monetize out of non-strategic assets, pursuing the private market buyer pool can be a good bet, depending on the specific asset... We've sold 47 healthcare assets this year so far, representing institutional groups to private clients, and continue to sell tons of inventory to private buyers.
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The resi real estate market is exploding in LA/OC. A friend who lost his Palisades home just had to pay a years worth of rent to secure a lease in Newport Beach. An agent I know is saying his phone is ringing non-stop, and has multiple offers on the way for a listing that hadn't received any traction before the fires. A property manager said he has gotten 100+ lease inquiries over the weekend. I expect more of these stories in the coming days.
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A buyer with $2M asked me he should buy. Told him to buy a single tenant dental deal. - High margins / great rent coverage - It’s very expensive for dentists to relocate - They usually invest a lot of $ in buildout - Historically low default rates / good credit
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Imagine a broker has called 10 times over the years & you never answered. Now he has a deal listed. You want it. You know you’ll make 💰 on it. Ask yourself: Will he want to sell it to you? Probably not. He’ll sell it to the guy who gave his time over the years to earn it.
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I’m at a conference and have come across people: - chewing with their mouths open - not making any eye contact - cutting people off mid sentence - being straight up rude to prospects If you’re a normal person with self awareness, you’re already way ahead of your competition.
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100 cold calls a day keeps the competition at bay
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We did a dental deal at a 10 cap. The buyer extended the lease to 10 years, & it’s now worth a 6 cap. 400 bps of spread. All from having a prior relationship with the tenant. Information arbitrage is beautiful.
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We've sold 80+ medical deals YTD. 15 of those have been ophthalmology buildings. We're about to put the 16th under contract this week: - Client bought the building he was leasing - He's doing a sale leaseback 6 months later, for over $1M in profit He sees the vision.
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This is also being done by groups to subsidize their practice acquisitions. Example: Dental Practice = $2.5M 5k SF Dental Building = $750k ($150/SF) Total Price = $3.25M Flip Sale Leaseback: $125,000 / 0.06 = $2,083,333 Effective Price for Practice: $1,166,667 53% Discount.
A client of ours has hacked dental real estate. He owns 25+ dental practices, and has made ~$10M in the last 24 months. Just from the real estate. He buys vacant buildings, plugs in his practice, and flips them as sale leasebacks. Buy. Rent. Repeat.
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To think it all started from this hunk of plastic... I've probably made over 75,000 calls on this thing. Simple, not easy.
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Dermatology Real Estate Flip: Dermatologist bought a 10,000 SF building for $100/SF. He put in another $200/SF. He's all in for $3,000,000. Final step: Sale leaseback the deal for ~$4,286,000. $1,286,000 Profit in 6 months.
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Overheard at ICSC today: “If the Fed cuts rates, we’ll be able to lower cap rates on all of our listings.” This is why we can’t have nice things.
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We just sold this bad boy in Jersey for $6.8mm. An absolute gem. - 3 MOBs w/ ASC (24,490 sf) on 3.48 acres - 50% of rent roll is Virtua Health (AA- credit) - Rents ~30% below mkt - 2 of 3 leases are naked (NO options) - NJ is a Certificate of Need (CON) state - 🔥 location
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Here's one for all the chiropractors out there... One of our clients is about to sell his chiropractic practice for $10,000,000. It'll be around a 5x multiple on EBITDA. Right afterwards we're going to sell his RE for north of $5M. A $15M+ exit. That's a lot of back cracks!
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Here's my path to 💰 if I were a young dentist with a ton of student loans: Partner up with 3-4 of my dental friends/peers that I'd want to start a business with. I'd immediately start researching my local market, trying to identify a piece of real estate to buy for a cheap price, that I could backfill a new dental practice with. During the process, I would reach out to a broker named Rahul and ask him what the sale leaseback value would be of that dental building, making sure that we could make money on a flip. I'd scrap up all the equity my friends and I have and that we can access, buy the building, and start up our private practice. I'd reach out to friends & family, or take on outside investment for the first practice. As soon as I build out my practice and it's stabilized operationally, I would sale leaseback the real estate, pay off the loan, and take the profits. I would recycle those profits and do the whole thing over again a few more times. In the process I would be creating value through sale leasebacks, paying down my student debt, and slowly but surely become a multi-unit DSO with multiple cash flowing dental locations. Financial freedom is there for young healthcare providers that are willing to make some long-term entrepreneurial moves.
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There are 100s, if not 1,000s of junior brokers across the country with terrible mentors. Mentors that don’t train, care, or show up. Junior brokers: Understand that there are 100s, it not 1000s of mentors that do train, care, and show up. Go find them.
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If you're a doctor planning on retiring in the next 5 years, here is your exit strategy, or what I call, the "1-2 punch." 🧵
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You can’t sell deals if you don’t give yourself at-bats. As a CRE broker, your at-bats are cold calls. Cold calls lead to pitches, which ultimately lead to a certain # of closings. Here are some of our numbers: 1) Every new agent makes 500 cold calls per week 2) Our team pitches 15-20 deals per week 3) We have sold over 130 medical buildings this year Cold Call -> Property Pitch -> Listing -> Closing Almost every deal we sell can be traced back to a cold call. If you want to sell hundreds of properties, the path is simple. Make cold calls. Lots of them.
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I haven't seen one of these circulated in a while, so sending out a list of specialist accounts that I believe are all valuable to follow. Investing, brokerage, tech, SMB, healthcare, real estate, etc. Listed in no particular order: 1) @HealthcareREguy - Healthcare Real Estate Brokerage & Investing 2) @CREdeallawyer - Real Estate Law 3) @jandreini1 - Net Lease Brokerage & Investing 4) @TheWolfofREI - Real Estate Private Equity 5) @DentalREguy - Dental Real Estate Brokerage 6) @theDSOguy - 20+ Unit DSO operator / Orthodontist 7) @daveharrington - President of National Brokerage (MREIS) 8) @CoyDavidsonCRE - Healthcare Leasing 9) @MattLasky - Healthcare & Retail Real Estate Private Equity 10) @TripleNetInvest - NNN Real Estate Investing 11) @chernobelskiy - LP Real Estate Advisory 12) @coryDwake - Senior Housing Business & Real Estate 13) @ClarenceWongCRE - CRE Investor 14) @ryansweb - Head of Product at Major National Project / Tech 15) @DonovanBuilds - House & Residential Flipping & Development 16) @coleruudjohnson - Call Center & Real Estate Operator 17) @SeanODowd15 - Single Family Rentals (SFR) Investing 18) @JeremyGlantz - Real Estate Title Insurance & Deal Connector 19) @evanrosenfeld - Industrial & Multifamily CRE 20) @peterboulden - Private DSO Owner / Dental Podcast 21) @SBAloansguy - SBA Lending 22) @gas_biz - Everything Gas / C-Store Real Estate & Business 23) @stevegarthwaite - Real Estate Brokerage 24) @hq_storage - Self Storage Operator & Investor 25) @HCareAdvisorGuy - Healthcare Quality of Earnings / M&A 26) @jasonmiller15 - CRE Developer / Adaptive Reuse Projects 27) @B_Madden4 - Founder of Hospitalogy - Business of Healthcare 28) @LandMedici - Value Add Real Estate Investor & Operator 29) @bentigg - Acquiring, Growing, and Investing in SMBs 30) @michaelwatson2 - Mobile Home Park Investor / CRE Retail Broker 31) @DeveloperQuirks - CRE Development in Northeast, Southeast, and Texas 32) @FranchiseMnA - Franchise Consultant / M&A 33) @SBA_Matthias - Founder of Loan Brokerage Specializing in SBA 34) @MananShahmd - Healthcare Startups / Allergy Care 35) @RomeenSheth - Angel Investor & Building Companies 36) @AaronAZucker - CRE Value-Add Fund & Urgent Care Operator 37) @healthcareandy - U.S. Healthcare Industry 38) @tyleralley24 - Strip Center Development & Investment
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Replying to @jofx
This can’t be a real argument. Are you trolling me?
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Our dentist clients are by far our most entrepreneurial. Case in point: One recently engaged an investment banker to sell his practice. They valued it at ~$120,000,000.
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Replying to @realEstateTrent
The “sound normal” part is underrated
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Here's what you should do as a young agent if you want success in CRE brokerage: - 70+ hour work weeks - No vacations (besides major family events) - Insane amounts of social & personal sacrifice (you'll miss birthdays, weekend trips, and many fun nights) - 500+ cold calls every week for your first 3 years - Accept that 99 out of 100 people will reject you - 6 day work weeks, sometimes 7
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How many times does a person need to miss a scheduled call for you to move on? Mine is 3. Asking for a friend!
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They say don’t meet your idols. I’ll never say that. A 🧵 on meeting mine, Kobe Bryant.
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The term #caprate is just a fancy way of saying rate of return. If you buy a building for $1M and it returns $100k year 1, that is a 10 cap. If another building returns $50k for that $1M, that would be a 5 cap. Why then would someone invest in a 5 cap vs. a 10 cap? (1/5) 🧵
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One way to make money in CRE brokerage: 1. Identify an underserved market 2. Research all property owners’ phone # 3. Cold call on properties >10k sq. ft. 4. Identify the top buyers in that market 5. Sell your deals to those top buyers Do steps 2-5 over and over and over again.
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100 cold calls a day keeps the competition at bay
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Dental portfolios are still trading hands! We sold a ~$22M portfolio last week, and sold another ~$6M portfolio a couple of days before that. The first one was a multi-site sale leaseback. When we first met with the owner, he had an offer for both his practice and real estate. They were offering $19M (lowball) for the buildings. Ultimately the owner decided to stay private and sale leaseback his assets for $3M more. He'll now take his time to sell his practice, if ever. The second deal was a portfolio of DSO-leased sites. The owner had already sold his practice years ago, and was now at a point in his life where he wanted to offload the buildings. Notice how in both situations the real estate and opco weren't bundled together. Why? Because they shouldn't be! To all healthcare operators that own their real estate: Make sure you sell your opco at top dollar to a group focused solely on the practice, & make sure you sell your properties at top dollar to a group solely focused on acquiring real estate. 99% of the time the buyer for the opco won't pay you the best price for the RE.
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Crazy stat of the day. Data centers use a ton of water, about the same usage as 20,000 homes per day. They need it for cooling purposes… 🤯
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Just start posting. Although it may not seem like it, we are still super early in the "content era." I remember creating a Twitter account a few years ago thinking it was probably too late to start putting content out there, but figured it was worth a shot anyways. Fast forward now, this social media account has generated countless connections, investment opportunities, listings, deals, and more. Way beyond what I thought was possible. If you're a casual observer and have insightful things to say, you should get it out there. If you stick with it long enough, I can almost guarantee you won't regret it.
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8/17/15 - 1st day of brokerage 7/10/16 - 1st deal sold (11 months) 12/5/17 - 25th deal sold (28 months) 11/29/18 - 50th deal sold (39 months) 12/20/19 - 100th deal sold (52 months) 11/5/20 - 200th deal sold (63 months)
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If you saw the amount of losses I’ve seen doctors take on their RE, your mind would 🤯. It’s well into the tens of millions of dollars… (1/4)
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I haven’t been able to raise rents on my apartment building in LA since 2020. If I can’t raise rents, I can’t reinvest back into my buildings. The tenant always ends up paying, either through rental increases, or sub optimal housing. Short term fix, long term nightmare…
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Many 1031 buyers don't care about negative leverage. They need to defer capital gains taxes, and plan on growing into positive leverage by holding forever. For them, all they need is a long-term lease, annual increases, and a solid credit tenant. They don't complicate it.
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The average time between a rate hike cycle (first hike -> first cut) has historically been two years. We're 13 months in. Source: Pensford
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I’ve had weeks where I made 700+ calls Countless 18-20 hr work days Drove 1 - 1.5 hrs to & from the office during my 1st year I even went to the office directly from the hospital, after an allergic reaction, to hit my weekly goals Now when I tell new hires to work 80+/wk, I can say: “I’ll never ask you to do something I didn’t do myself”
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Our healthcare team has 94 active listings for sale. We generated 52 of those within the last 60 days. This is THE time for brokers to consume market share. Your competitors are tapping out.
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In light of all the recent DMs asking for tips on investing in net-lease RE - Here’s a crash course on “Net Lease 101” for anyone looking to get in the game… 🧵
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8/17/15 - 1st day of brokerage 7/10/16 - 1st deal sold (11 months) 12/5/17 - 25th deal sold (28 months) 11/29/18 - 50th deal sold (39 months) 12/20/19 - 100th deal sold (52 months) 11/5/20 - 200th deal sold (63 months)
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Healthcare. Private Equity. Real Estate. Figure out a way to combine all three, and you’ll have the power of all infinity stones. 💎💎💎
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We're pleased to present an opportunity to acquire a new construction specialty hospital in one of the hottest markets in the country, Orlando, Florida. Not only does the deal feature an extremely rare 40-year absolute net ground lease to a major health system in ScionHealth, but the newly constructed facility will be situated on 5.45 acres of land, right off of Turkey Lake Road in what is a sub-market with very tight supply. The subject property is adjacent to Orlando Health's 285-bed hospital campus, and within minutes from Orlando's tourism district, featuring attractions such as Disney World, SeaWorld, Orlando Studios, and more. Price: $15,652,174 Lot Size: 5.45 Acres Proposed GLA: 70,000 SF Lease Type: Ground Lease VIDEO BELOW! Please reach out directly to learn more.
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If you owned a $50M business, you’d use an investment bank to sell it. Then why, if you own a $50M portfolio of real estate, would you EVER sell without a real estate broker?
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If you've only got enough dry powder for 1 deal, maybe 2... wait. Be patient... wait 'til the ball breaks... then swing. Opportunities are coming.
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Anyone else unsubscribe from 50+ email blasts on a daily basis?
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95% of sales comps today are worthless. A deal that sold 3 months ago was put under contract 6 months ago. 6 months ago the market was in a completely different place. As interest rates settle in at these higher levels, supply & demand continues to shift, affecting broader market pricing. Today, the only people who can accurately predict an asset's pricing are those with access to multiple real-time market data points. These people could be brokers would a ton of listings, or sellers with several deals either listed or under contract They're able to tell you what the market looks like in real time for deals of different lease structures, credit profiles, and geography, TODAY.
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Was at dinner the other night with one of the largest and oldest net lease funds in the country. They are what you would call "smart money." This smart money is now only buying long-term sale leasebacks near 9.0% cap rates. Things are getting weird.
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No one in healthcare real estate is providing more competitive financing than us. Sample Terms: - 15 Years - 100% LTV - 6.5% - 8.5% Interest Only for 15 Years - No Balloon Payment (Loan can be forgiven at maturity) You might have guessed it. Sale-leasebacks. The real estate for a physician group in many cases is non-performing. There's usually a better use for that capital. The buildings are also worth more with in-place leases 90% of the time. If the loan is maturing, sell the building, lease it back, and receive "net-lease" pricing for the asset. Then re-allocate those proceeds to higher returning areas e.g., performing real estate, your business, other investments, etc.
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Show me a principal with great broker relationships and I'll show you a rich principal
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Hits harder after seeing today’s jobs revisions
If anyone has friends on the editorial teams of the @WSJ, @FinancialTimes, @barronsonline, @CNBC, @Bloomberg, or @FoxBusiness, please have them reach out to exclusively feature this timely OpEd I just penned regarding the @federalreserve after their policy mistake today. Enjoy! --- The Honorable Jerome Powell Chair, Board of Governors of the Federal Reserve System 20th Street and Constitution Avenue NW Washington, DC 20551 Dear Chair Powell: Why did you cut 100bps last fall but claim to see little reason to cut 25bps today? It can be argued that your political posturing will all but guarantee the Fed’s independence is at least marginally eroded by the upcoming series of appointees to the board — including your replacement. The increasingly likely erosion of Fed independence may prove to be more significant than “marginally,” and here’s why: It is reasonable to question your data dependency because the labor market is worse now than it was then. Private Sector Labor Income grew 4.7% on a three-month annualized basis in Aug-24 — the last report you had on hand before your jumbo-sized 50bps cut last September. FWIW, 4.7% is comfortably above the pre-COVID trend of 4.3%. Fast forward to today, Private Sector Labor Income grew just 1.4% on a three-month annualized basis in June – the lowest rate since Jun-20. The -370bps MoM deceleration marked the slowest rate of change since May-22. It is also reasonable to question your data dependency because inflation is lower now than it was then. The Super Core PCE Deflator — the inflation metric over which you purported to have the most control as monetary policymakers — was reported at 2.2% on a three-month annualized basis, 2.8% on a six-month annualized basis, and 3.2% on a YoY basis in Jul-24 (mean = 2.7%) — the last report you had on hand before your jumbo-sized 50bps cut last September. The Super Core PCE Deflator is currently mired in a downtrend at 1.1% on a three-month annualized basis, 3.1% on a six-month annualized basis, and 3.1% on a YoY basis as of May-25 (mean = 2.4%). To be clear, we are not even advocating for cutting the policy rate. We do not believe the economy requires rate cuts for the business cycle expansion to persist over a multi-year time horizon and have remained the most bullish non-permabull on global Wall Street since May 3 (Google search or ChatGPT query “Paradigm C” for details). What we are advocating is that you drop the “Mr. Tough Guy” act on inflation. You had no problem being the most dovish Fed chair since the advent of using the policy rate as the primary tool for conducting monetary policy. Arthur Burns’ trough spread of -720bps below what would have been the baseline Taylor Rule estimate at the time looks hawkish compared to your trough spread of -1,040bps in Feb-22 — when you were still performing quantitative easing into a 40-year high in inflation. You had no problem growing the Fed’s balance sheet to a peak of 36% of GDP in Nov-21 — a year in which the federal budget deficit clocked 10% of GDP, after a whopping 15% in 2020. These figures compare to just 5% in 2019, 4% in 2018, and 3% in 2017. The current Fed balance sheet/GDP ratio of 22% is still well north of the long-run mean of 16% for this time series — data which features your ultra-dovish focus on “maximum and inclusive employment” and green-energy-supportive monetary policy. We do empathize with why you’re acting tough on inflation. Respectfully, sir, you are 72 years old and like most people in their 70s, you may be succumbing to the understandably human desire to build and preserve your legacy. Additionally, the Trump administration’s tariff policy shock is significantly larger than anyone expected. Per the Budget Lab at my alma mater Yale, the overall average effective tariff rate of 18.4% is the highest rate since 1933. At some point this will feel like inflation as affected goods finally pass through the system. But the preponderance of credible academic literature concludes tariffs aren’t inflationary. The PhD economists at your own institution agree — or at least they did agree prior to President Trump’s second ascent into the Oval Office, but that’s neither here nor there. What is relevant here is the slowdown in Real Services PCE, which grew a paltry 1.1% on a QoQ SAAR basis in Q2 — just one-third of the 3.0% rate recorded in 2024. Real GDP ex-Government & Net Exports contracted at a -3.2% QoQ SAAR pace in Q2, the lowest rate since the COVID lockdowns of 2Q20. There was a sound economic case to be made for lower policy rates today — we wouldn’t have had two Fed governors dissent for the first time in 32 years otherwise. Specifically, the labor market is likely to weaken further on a lag to the near contraction in capex observed in the Q2 GDP data (0.4% QoQ SAAR vs. a pre-COVID trend of 3.5%), slowdown in corporate profits growth (S&P 500 constituents 6.4% YoY Q2-to-date vs. 13.6% in Q1 and 11.3% in 2024), and persistently elevated policy uncertainty (e.g., highest ever yearly average for the Baker, Bloom, and Davis Economic Policy Uncertainty Index — a time series that includes data from both COVID and the GFC). There is an equally unsound economic case to be made for keeping policy rates cyclically and structurally elevated today: the risk of “unanchoring” inflation expectations. Putting aside the fact that we do not believe the mere ‘unanchoring’ of inflation expectations can cause persistent above-trend inflation in the absence of persistent above-trend credit growth in either the private or public sectors, Chair Powell, you and your colleagues are the primary reason this risk exists. You let the inflation genie out of the bottle by running historically expansionary monetary policy amid an obvious and historic expansion of fiscal policy. This is why we strongly believe the administration is right to pursue regime change at the Fed. Whether or not they get it right is irrelevant at this juncture. Time will tell on that front. Lastly, please do not interpret this as a personal attack on you or the institution. Rather, this is a data-driven perspective on how you and your colleagues at the institution have failed the American public and continue to fail the American public. Heaven forbid the FOMC be held accountable for the dramatic outcomes it contributes to in our K-shaped economy and asset markets. Anyone reading this would be a fool to not agree that better monetary policy can potentially help engineer better outcomes for the consumers and businesses trapped on the bottom part of the “K”. There are obviously no guarantees that the pending regime change at the Fed will accomplish this goal — or in life in general, save for the fact that two wrongs don’t make a right in Fed policy mistake terms. Thank you for reviewing, and thank you for your service to the American public. Regardless of whether you and I see eye to eye on your still-developing track record, I recognize how hard your job is and appreciate your efforts nonetheless. Thank you and God bless, Darius Dale, Founder and CEO of @42Macro
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Kobe Bryant trained 80+ hrs a week = "Killer work ethic" Steve Jobs worked 10-12 hrs days daily = "A true visionary" The Rock only sleeps for 3-5 hrs daily = "Insane passion" A CEO works 80+ hrs per week = "Greedy, unhappy capitalist that sold his soul!"
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