Account Details Username (required)Email Address (required) Choose a Password (required) Strength indicator Confirm use of weak password Confirm new password Hint: The password should be at least twelve characters long. To make it stronger, use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & ). Profile Details First Name (required) This field may be seen by: Everyone Last Name (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Practice (required) ----10 or less11-2526-75More than 75 This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Office Phone (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Cell Phone (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Address This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close City This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close US State (required) This field may be seen by: Only Me Change Who is allowed to see this field? Everyone Only Me All Members Close Zip This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close The benefit(s) I am most interested in realizing from CPOMP is(are): Attendance at the CPOMP annual conferenceThe ability to network with other physicians or executives as a resourceThe ability to network with industry experts and sponsorsAccess to the resource library containing organizational documents and economic modelsUsing CPOMP as an informational resource to better educate members of our practice This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close My greatest area(s) if interest include: (required) New project development and related issuesReal estate portfolio growth strategies (M&A / new projects)Ownership succession (sustaining buy-ins and buyouts)Debt (sourcing, negotiating, and leveraging)Monetization methods (sale leasebacks / re-syndication / refinancing)Consolidating disparately-owned real estate entitiesOther This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close How many partners are in the practice? (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Of those practice partners, how many have ownership interest in at least one of the real estate properties that the practice occupies? (required) ----01-2526-5051-7576-99100 This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Our real estate portfolio includes: (required) MOBsASCsSurgical / Mini HospitalSNF (Skilled Nursing Facility)Other This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close The estimated total Fair Market Value of the real estate is $______ (required) This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Have you been involved in any sale-leasebacks of your real estate? (required) YesNo This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close Do you anticipate growing your real estate portfolio in the next three years? (required) YesNo This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close If qualified, are you interested in attending the CPOMP Annual Meeting? (required) YesNo This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close How did you hear about CPOMP? (required) EmailMailerReferralSocial mediaWeb searchAttendance at another conferenceOther This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close If you selected referral, another conference, or other, please specify This field may be seen by: Everyone Change Who is allowed to see this field? Everyone Only Me All Members Close I have read and agree to this site's Privacy Policy.
