In the past it was common practice for developer-operators of turnkey medical office buildings (MOBs) and ASCs to call for deals that require physician-investors to have a majority interest in the real estate and a minority stake in the healthcare practice that occupies the building. The problem is that's exactly the opposite of what most physicians want. Physicians typically want to own the majority share of their ASC.
Orion Medical Services LLC has recognized those issues and turned that model on its head. Orion, which specializes in developing and managing ASCs and MOBs, accepts most of the real estate risk and lets the physicians retain a majority interest on the business side. Many physicians have found this model appealing which has resulted in a number of mutually successful ventures.
Orion's physician-friendly model as featured in the Case Study by Healthcare Real Estate Insights.