Chase Smith

850 Pacific Street, Stamford, CT 06850 704-806-3232 chasecsmith@protonmail.com linkedin.com/in/chasesmith4/

Summary Statement

Healthcare real estate investment professional with experience executing more than $295MM of outpatient medical real estate transactions across acquisitions, developments, recapitalizations, and dispositions. Combines hands-on execution across underwriting, due diligence and closing, capital structuring, and implementation of asset-level business plans throughout the investment lifecycle. Experienced in completing complex lease negotiations through direct engagement with executive and real estate leadership at major Northeast health systems. Brings deep domain knowledge of healthcare reimbursement frameworks, ambulatory care delivery models, and health system operations, applied directly to sourcing, underwriting, and asset-level management decisions. Prior foundation in credit underwriting at Bank of America across a $2B+ commercial loan portfolio.

Experience

Aspect Health, Inc., Greenwich, CT

Healthcare Real Estate Investment & Development Platform

Managing Partner – Aspect Acquisitions, LLC.

March 2025 – Present

  • Led the development of an outpatient aggregation strategy targeting Class A ambulatory and high-acuity medical assets across the Northeast and Mid-Atlantic, incorporating a unified capital strategy combining core-plus stabilized assets with targeted value-add repositionings
  • Authored and advanced the platform’s investment thesis centered on the premise that investment performance improves when healthcare real estate infrastructure is aligned with health system strategy and modern ambulatory care delivery models.
  • Engaged JLL’s Medical Properties Group as exclusive placement agent and partnered with senior managing directors to structure the capital raise strategy and investor presentation materials
  • Led investor presentations and capital markets discussions across nearly two dozen meetings with leading Tier-1 LPs including Fengate, New York Life, BGO, Oaktree, LaSalle, Clarion, GFH, Walton Street, and HIG

Senior Investment Professional

April 2021 – Present

  • Led underwriting and transaction execution across more than $295MM of transaction volume spanning acquisitions, developments, recapitalizations, and dispositions of Class A medical assets including ambulatory surgery centers, imaging centers, orthopedic centers, and medical office buildings
  • Built the underwriting model and recapitalization pro-forma for a $101MM seeded joint venture with Welltower, recapitalizing a 6-asset Class A outpatient portfolio into REIT ownership; managed ongoing communications with Welltower on go-forward acquisition opportunities; portfolio subsequently acquired by Remedy/Kayne Anderson in 2025
  • Negotiated directly with executive and real estate leadership at Montefiore, Yale New Haven Health, and Stamford Health across master leases, amendments, and extensions, including lease restructurings, term extensions, and expansions to extend WALT and support long-term asset valuation
  • Structured capital stacks across multiple transactions comprising senior debt, preferred equity, and common equity; led debt sizing and structuring, including hedging strategy, working directly with regional lenders on originations, refinancings, and extensions; sourced physician and high-net-worth investor equity
  • Developed institutional-grade acquisition and development models in Excel and property-level cash flow analyses in Argus; performed sensitivity analysis and structured promote waterfalls; prepared Offering Memoranda supporting acquisitions, developments, and recapitalizations
  • Led due diligence and closing execution, including PSA negotiation alongside counsel, third-party environmental, PCA, survey, and appraisal review, regulatory, zoning, and title review, lease abstraction and estoppel review, and management of closing checklists

Bank of America, Boston, MA

Global Commercial Banking – Restaurant Finance Group

Commercial Credit Associate Underwriter

September 2019 – March 2021

  • Underwrote new money transactions across Bank of America's $2B+ Middle Market Restaurant Group portfolio, including the firm’s participation in syndicated credit facilities for Raising Cane's ($1B Revolving Line of Credit and Term Loan Facility) and Chipotle Mexican Grill ($600M Revolving Line of Credit Facility); prepared deal screen and credit approval memos incorporating cash flow analysis, EV/DCF valuation, leverage and coverage metrics, and real estate collateral calculations
  • Managed active covenant compliance monitoring and workout activity across a portfolio of franchisee and operating company credits during the COVID-19 period, including financial covenant modifications, waiver negotiations, and credit facility amendments; prepared quarterly reports and annual exposure reviews tracking capital structure, liquidity, and covenant cushion across the portfolio
  • Spread company financial statements, maintained internal credit models, and calculated risk ratings based on trailing credit metrics for a diversified portfolio spanning national QSR chains, regional franchisee groups, and operating companies

Education

Bentley University, Waltham, MA

Master of Business Administration, 2020 – Summa Cum Laude

Bachelor of Science, Finance and Global Perspectives, 2018 – Cum Laude

Sector & Technical Expertise

Healthcare Regulatory Expertise:

  • Medicare reimbursement frameworks across ASC, HOPD, and Physician Fee Schedule (PFS) care settings, including site-neutral payment policy and outpatient migration trends
  • Certificate of Need (CON) regulatory environments across Northeast and Mid-Atlantic markets and implications for ambulatory development and tenant retention
  • Practice profitability and payer-mix analysis within tenant credit underwriting, including commercial versus government payer concentration and reimbursement sustainability

Financial Modeling & Tools:

  • Argus Enterprise (Certified), Advanced Excel Financial Modeling, Microsoft Office Suite

Professional & Academic Affiliations

Bentley University — Center for Health & Business

  • Founding contributor to the establishment of Bentley University’s Center for Health & Business, an interdisciplinary initiative focused on healthcare delivery, policy, and business strategy

Interests