On January 29, Montecito Medical Real Estate announced its third transaction of the year with the purchase of four medical outpatient buildings (MOBs) in North Carolina. Terms were not disclosed. 

The MOBs are located in Pinehurst, Southern Pines and Fayetteville, North Carolina and total nearly 230,000 square feet. All buildings are 100% occupied. 

Pinehurst Surgical Clinic, the anchor tenant, occupies more than 190,000 square feet of the total space in the portfolio. FirstHealth of the Carolinas occupies 90% of the 14,000-square-foot Fayetteville property.  

Montecito Medical specializes in healthcare-related real estate acquisitions and funding. Since 2006, it has completed transactions totaling more than $6.5 billion in medical and veterinary real estate. 

According to data captured in the LevinPro HC database, this transaction represents the 30th MOB acquisition of the year. There were 231 MOB deals reported throughout 2025, and 213 in 2024. This also represents the second MOB in North Carolina to be acquired in 2026. 

Having announced 28 acquisitions in 2024 and 29 in 2025, Montecito is one of the most active buyers in the MOB space. Other investors that have announced transactions in 2026 include Cypress West Partners & TPG Angelo Gordon (a joint venture), IRA Capital and BGO