CPOMP 2023 Annual Meeting

The CPOMP 6th Annual Meeting took place at The Ponte Vedra Inn & Club in Ponte Vedra Beach, FL from Thursday, November 2 – Saturday, November 4, 2023. Physician-owners and executives of independent physician groups from across the country met to discuss all topics related to their medical real estate ownership. Members, their guests, and sponsors enjoyed several networking events including receptions with lively local entertainment, golf and pickleball tournaments, and a trip to the historical town of St. Augustine, FL. See below for the timely topics discussed and the attending groups.

CPOMP 2023 Topics


The 3 Essentials to a Sustainable & Highly Profitable Real Estate Investment


Valuation – The Best (and Worst) Method

Valuation is the KEY to creating sustainability in your physician-owned real estate investment. Valuation determines equity and equity determines the ability to create viable partner buy-ins and buyouts. Attendees left with a greater understanding of the methods of valuation for purchase and sale to optimize your outcomes.

    Funding – Creating Affordable Buy-ins & Assured Buyouts

    A look at innovative methods of funding buy-ins and buyouts. Each were evaluated based on effectiveness, cost, and long-term viability. The session addressed the use of internal vs. external financing to make buy-ins affordable and the cost of each. Panelists included financial experts and your peers who have experienced the good AND bad outcomes.

    Leverage – Exploring the Age-Old Question of Debt vs. Equity

    A comprehensive and understandable discussion of the impacts of debt versus equity. This session answered the question of how, when and to what extent debt should be used to create a viable, attractive, and sustainable investment.


    Keynote Speaker Luncheon: A Banker’s Forum

    Financing has become a great uncertainty and major focus of most every practice in their considerations as to whether to invest in new facilities. To help groups better understand the implications of the current and projected lending environment, some of the top banking professionals in the country joined CPOMP members to lead the conversation.


    The Real Estate Impact of Private Equity Sale of the Practice: Valuation & Structure

    Your practice and your property are NOT mutually exclusive investments. A failure to address them globally in the sale of the practice to PE can have severe economic implications. Buyers of medical properties and PE negotiators explained why your medical property immediately loses value upon sale and how to evaluate the loss and minimize the impact. Physician groups learned what to look out for when negotiating the sale and how to structure the investment.


    Making Joint Ventures Work: How to Recognize Partner Misalignment & Utilize Provisions that Protect Your Investment

    Medical groups are unique real estate investors. The paths to their ultimate objectives often diverge from other types of investors. Physicians and executives from peer groups discussed how they have been impacted when it came to choices of financing, selling, and the distribution of proceeds of the value created in sale-leasebacks. Issues were addressed as they pertain to joint ventures with hospitals and joint ventures with equity partners such as developers or other third parties. Legal experts weighed in on how groups can best protect their interests as well as negotiate equitable distributions.

    New Tools Available to Assess Location & Space Needs

    Industry experts with access to innovative tools shared how groups should approach the decision to choose a location and determine space needs when starting a new project. Learn what to look for, where to source the most accurate information, and who are the best partners to help. Understand how to strategically analyze demographic studies, payor mix breakdowns, accessibility, and competition so you can identify your practice’s needs and choose the best space to grow.

    To Build or Not to Build: The Cost of Standing Still

    How do you make the determination to move forward with a new project in an inflated environment … or not? Learn how to analyze this decision to ensure that the project makes sense economically and to take the proper steps to make an informed conclusion. Analysis will consider both moving from leased space to owned space and building facilities in a new market.

    CPOMP 2023 Sponsors



    Flagship Healthcare Properties