✨ Healthcare-aware abstraction with human QA
Medical Office Lease Abstraction
Medical office building leases look like ordinary office leases until you read page thirty. Tenant improvement allowances are tied to build-out milestones instead of a single payment. Permitted-use clauses name medical specialties, and exclusivity language protects one practice from a competing one down the hall. Assignment and change-of-control provisions decide whether a practice acquisition needs landlord consent at all. A generic abstraction pass captures rent and dates and quietly skips the clauses that determine what an MOB lease is actually worth.
PropETL abstracts medical office and healthcare leases with an AI-powered extraction pipeline that cites the source page for every value, followed by a specialist QA review of every abstract — because MOB clauses need judgment, not just pattern matching. You receive structured, confidence-scored abstracts in days, not weeks, ready to load into your lease system or to hand a deal team mid-diligence.
Why generic abstraction misses MOB clauses
Most abstraction templates were designed for conventional office and retail. Run a medical office lease through one and the fields fill in — but the substance lives in provisions the template never asks about. A TI allowance disbursed in tranches against build-out milestones behaves nothing like a lump-sum allowance; if the abstract records only the total, whoever manages the lease will misread landlord obligations for years. Exclusivity granted to an imaging center or an orthopedic group constrains what the landlord can lease next door — and what your acquisition target can expand into.
Change-of-control and assignment language matters more in healthcare than almost anywhere else, because practices merge, sell to hospital systems, and restructure constantly. Whether a transaction triggers consent, a recapture right, or a rent reset is exactly the kind of question a rushed abstract answers wrong. Our QA reviewers read these clauses in context, not just as extracted text, before an abstract ships.
What a medical office abstract covers
- ✓Parties, guarantors, and premises — including shared or licensed space arrangements common in medical suites
- ✓Term, commencement, expiry, and key dates, with renewal, termination, contraction, and expansion options
- ✓Base rent and escalations, plus TI allowances broken out by disbursement condition and build-out milestone
- ✓Permitted-use and exclusivity language captured verbatim intent: which specialties are allowed, which are protected, and where restrictions apply
- ✓Assignment, subletting, and change-of-control provisions — consent standards, notice requirements, and recapture rights
- ✓OpEx, CAM, and utility recovery structures as they appear in MOB settings, including caps, exclusions, and gross-up language
- ✓Page-level citations on every field, so counsel and lease admins can verify any value against the source in seconds
Compliance-sensitive provisions: flagged, not lawyered
Healthcare real estate carries regulatory considerations that ordinary CRE does not. Leases between referral sources — a physician group renting from a hospital system, for example — are often drafted with fair-market-value rent language and other provisions that exist because of physician self-referral rules and related regulations. We are a data team, not a law firm, and we never render legal opinions on whether a lease complies with anything.
What we do is make sure those provisions are impossible to miss. When an abstract encounters fair-market-value rent representations, referral-related language, or other compliance-sensitive terms, we capture them, cite the page, and flag them explicitly for your counsel’s review. The failure mode we prevent is the common one: the clause was in the lease all along, but nobody surfaced it until after closing.
How an engagement works
- ✓Free sample round: send one representative medical office lease and receive a finished abstract back, so you judge quality on your own documents before committing
- ✓Scope and template agreed up front — your field list or ours, including any healthcare-specific fields your deal team or lease administrators need
- ✓Amendments, riders, and letters merged into one package per lease before extraction, so abstracts reflect current controlling terms
- ✓Every abstract carries confidence scores and human QA sign-off; documents are handled under NDA, used only to produce your deliverables, and deleted on request
Frequently asked questions
Can you handle a batch of leases from a practice acquisition?
Yes — acquisition batches are the most common way MOB clients engage us. AI extraction sets the pace and specialist QA keeps accuracy, so a portfolio of practice leases can be abstracted in days rather than weeks and land inside a diligence or closing window. Tell us the batch size and your deadline and we will confirm a schedule before you commit.
What fields does a medical office abstract include?
Everything a standard commercial abstract covers — parties, premises, term, key dates, rent, escalations, recoveries, deposits, and options — plus the MOB-specific layer: TI allowances tied to build-out milestones, permitted-use and exclusivity language by specialty, assignment and change-of-control provisions, and compliance-sensitive clauses. We work in your template or ours, and every field carries a page citation.
How do you handle Stark-related or other compliance-sensitive clauses?
We capture and flag them; we never interpret them. Provisions touching fair-market-value rent, referral relationships, or similar regulatory territory are extracted with page citations and marked explicitly for counsel review. That gives your attorneys a precise map of where to look instead of a stack of PDFs — but the legal judgment stays with them, where it belongs.
How is confidentiality handled for sensitive healthcare leases?
An NDA is available before you send anything. Your documents are used only to produce your deliverables — never for training, benchmarking, or anything else — and are deleted on request after delivery. Every abstract is reviewed by a specialist under the same confidentiality terms.
What does medical office lease abstraction cost?
Pricing is per lease and quoted after we see a representative document, since MOB leases vary widely in length and amendment history. Industry outsourced abstraction typically runs $150–400 per lease. The free sample round — one lease in, one finished abstract back — gives you a quality benchmark and a firm quote at the same time.
Get a quote — and a free sample round
Send one representative lease and we return the finished abstract, so you can judge the quality on your own documents before committing to anything.