Of the medical office and clinical buildings PRAXIS tracks across Ontario and Alberta, only about 3% are openly for sale at any given time. Every other healthcare buyer in this market is competing for that 3%. We work the rest.
By the time a medical building is posted publicly, the owner has already decided to sell, already chosen a broker, and already set a price. A buyer arriving at that point is bidding against everyone else who reads the same feed.
The properties worth acquiring are usually held by people who have not decided anything yet: a founding physician approaching retirement, a practice that owns its building and has outgrown it, an estate that inherited a clinic nobody in the family runs. None of them are listed. Most of them will transact eventually. The difference is whether someone was in the conversation before it started.
PRAXIS maintains a tracked inventory of medical office and clinical property across Ontario and Alberta for exactly this reason, and approaches owners on behalf of represented buyers with a defined mandate.
Every buyer in this market sees the same 3%. The advantage is in the other 97%, and it is earned by making calls, not by refreshing a feed.
This is inventory PRAXIS tracks and researches. It is not a listing service, and nothing here is offered for sale. An owner has to be approached, and many will say no. What a represented buyer gets is the approach, not a catalogue.
Ownership rarely turns over without a reason, and the reasons leave traces long before a sign goes up. These are the segments PRAXIS tracks across the ~1,500 standing properties in the book.
| Size band | Tracked | Typical occupier |
|---|---|---|
| Under 2,500 SF | about 200 | Solo practice, converted house |
| 2,500 – 5,000 SF | about 250 | Dental, small group practice |
| 5,000 – 10,000 SF | about 250 | Multi-discipline clinic |
| 10,000 – 25,000 SF | about 300 | Medical office building |
| 25,000 – 50,000 SF | about 250 | Anchored MOB, imaging |
| 50,000 – 100,000 SF | about 150 | Institutional |
| 100,000 SF and up | about 50 | Hospital-adjacent campus |
| Market | Tracked | Concentrated in |
|---|---|---|
| Toronto | about 500 | Toronto, Mississauga, Oakville, Brampton, Markham |
| Greater Golden Horseshoe | about 250 | Hamilton, Kitchener, Guelph, Barrie, Cambridge |
| Ottawa-Gatineau | about 200 | Ottawa, Cornwall, Pembroke, Kingston, Hawkesbury |
| Other markets | about 200 | London, Red Deer, Sarnia, Lacombe, Thunder Bay |
| Calgary | about 200 | Calgary, Okotoks, Airdrie, Cochrane, Strathmore |
| Edmonton | about 100 | Edmonton, Leduc, St. Albert, Sherwood Park, Spruce Grove |
Approaching an owner who has not asked to be approached only works if the buyer behind the call is real. That is not a formality. It is the entire reason an owner takes the second call. So the book is closed, and opening it takes three steps.
Province, target size, structure, and acquisition range. Two minutes, no documents. This tells us whether there is anything in the book worth your time before either of us spends any.
A buyer representation agreement under the correct regulator, and current proof of funds at your stated range. Reviewed by Mya Qi personally, not by a form.
Access to the opportunities PRAXIS has actually worked, and the ability to point us at a segment so we go make the calls on your behalf.
An off-market property is one the owner has not listed for sale. It may still transact, but only if someone approaches the owner directly. Across the medical and clinical buildings PRAXIS tracks in Ontario and Alberta, only about 3% are publicly for sale at any given time, so the great majority of the market is only reachable this way.
PRAXIS maintains a tracked inventory of medical office and clinical property across both provinces and approaches owners on behalf of represented buyers with a defined mandate. Start by stating your mandate through the access request form: province, target size, structure, and acquisition range. There is no cost and no documents at that stage.
Because approaching an owner who has not asked to be approached only works if the buyer behind the call is real. That is not a formality; it is the reason an owner takes the second call. A signed agreement and current proof of funds are what let PRAXIS make a credible approach on your behalf, and what assure every other buyer in the book that the room is qualified.
A bank confirmation letter, a lender commitment, or a confirmed line of credit, dated within 30 days and on institution letterhead, covering the acquisition range you stated. Corporate and fund buyers also provide a signing officer's attestation naming the entity that would take title.
No. Nothing in it is listed, offered, or available for sale, and no owner in it has agreed to sell. It is inventory PRAXIS tracks and researches so that it knows where to make calls. What a represented buyer gets is the approach, not a catalogue, and many owners will decline.
PRAXIS is dual-licensed with RECO in Ontario and RECA in Alberta, and the buyer representation agreement is a different document under each regulator. The agreement you sign is matched to the province you are buying in. If you are pursuing both provinces, both apply.
That is one of the strongest segments in the book. About 29% of the medical properties PRAXIS tracks are single-tenant, owner-occupied buildings: a physician group, dental practice, or clinic that owns the building it operates from. Those owners are the sale-leaseback pool, and almost none of them are listed.
The publicly available properties are worth seeing too, and they need no agreement to view.
Figures on this page are drawn from PRAXIS's own tracked inventory of medical and clinical property in Ontario and Alberta, generated 2026-09-01, and are rounded. They describe what PRAXIS follows, not the total stock in either province. Nothing on this page is an offering, and no property described here is listed for sale.