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Healthcare Real Estate: Where We Invest and Why

A More Thoughtful Approach to Investing in Real Estate

Acuere takes a deliberate, fundamentals-first approach. We're not chasing trends or paying premiums for deals that look obvious to everyone in the market. We invest where supply, demand, and operator dynamics work strongly in our favor — and we're willing to wait for those conditions rather than deploy capital for the sake of it.

Our background in oral surgery and healthcare operations gives us an analytical edge most investors don't have. We understand how healthcare providers use space, how they make location decisions, and what drives long-term tenancy. That operational lens shapes every underwriting decision we make and informs the conviction behind every position we take.

  • Our acquisition strategy targets low leverage (50–60% LTC), prioritizing capital preservation over amplified returns.
  • We structure for shorter fund periods with current cash flow, rather than back-loaded exit-dependent returns.
  • Healthcare real estate demand is driven by demographic necessity, making it more resilient to economic cycles and technology disruption than most asset classes.

Flagship Investment: Healthcare Real Estate Fund II

Demographic Certainty Meets Institutional Discipline

The Healthcare Real Estate Fund is a specialized, short-duration vehicle focused on acquiring and managing mission-critical medical office buildings. By positioning capital where necessity-driven demand meets long-term stability, the fund serves as a cornerstone for investors seeking resilient income and meaningful community impact.

The Strategic Edge

Recession-Resilient Asset Class

Healthcare real estate is driven by biological necessity rather than economic cycles, historically maintaining high occupancy and rent collection during market volatility.  

Targeted Performance
The fund is engineered to provide reliable quarterly cash flow of 4-5% with a targeted 11.5% cumulative preferred return for Limited Partners.
Credit-Worthy Tenants
Properties are secured by long-term leases with established health systems and physician groups who invest heavily in their locations, creating high "tenant stickiness".

For families exploring institutional healthcare real estate, RREI presents structured opportunities under separate offering documents.

The Mission-Driven Exit: 1031 Exchange into DST

To fulfill our commitment to Generational Wealth, this fund features a defined exit strategy designed to protect and compound your capital indefinitely.

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Tax-Deferred Liquidity

Upon the fund’s exit, investors have the opportunity to utilize a 1031 Exchange to roll their proceeds into a Delaware Statutory Trust (DST). 

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Infinite Compounding
This structure allows you to defer federal capital gains and depreciation recapture taxes, keeping 100% of your equity working for you. 
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Passive Preservation
Transition from a growth-oriented fund into institutional-grade, fully managed assets that provide passive income for the next generation. 

Experts in Healthcare and Investing

Acuere Capital, led by Dr. Dipesh Sitaram, combines expertise in both health — oral surgery— and real estate investment. With over two decades of experience in both fields, Dr. Sitaram brings a unique outlook to evaluating and understanding healthcare opportunities. This rare overlap of expertise gives clients better returns with less risk and uncertainty.

The firm leverages decades of experience in real estate investments, fund operations, and capital markets. Acuere Capital's extensive network provides access to institutional-quality offerings often unavailable to others. We handle all aspects of due diligence, legal and financial structuring, asset management, and accounting, streamlining the investment process for their clients.