Duplex-Style Medical Office
For Sale
$419,900
427 S 4th Street, Gadsden, AL 35901
SINGLE_FAMILY - Gadsden, AL
Property Size2,574 SF
Lot Size0.33 Acres
Price / SF$163.13
Days on Market40
Property Features for 427 S 4th Street
General Information
Property type
Residential
Property subtype
Office
Zoning description
Business
Bathrooms
3
Full bathrooms
3
Rooms
Bathroom 3, Bathroom 1, Bathroom 2
Directions
Rainbow Dr, Turn Onto Sth 4th @ Tropical Smoothie. Continue Straight And Building Is On The Left Just Past Neo.
Standard status
Active
Size
2,574 SF
Lot size
0.33 Acres
Utilities
Sewer type
Private Sewer
Heating system
Natural Gas
Cooling system
Central Air
Water source
Public
Building Details
Floors in Building
1
Flooring type
Tile
Roof type
Metal
Listing Agency:
Corporate South Realty,Inc
(256) 543-1292
Listed By:
Wesley Sutton · License #78909
(256) 504-7665
Added: Jul 15
Changed: Aug 1
Last Checked: Aug 23 at 10:06PM
MLS# 21886311
Copyright © 2026 ValleyMLS.Com,Inc. All rights reserved. All information provided by the listing agent/broker is deemed reliable but is not guaranteed and should be independently verified.
Investment Insights
Based on property information with market context.
Duplex-style medical office located at 427 S 4th Street in Gadsden. The right side features a waiting/reception area, an executive office with a private bath, three exam rooms, a lab, an additional office, and a patient bath. The left side includes a separate waiting/reception area, three exam rooms, an office, a kitchenette, and a lab.
The building is finished with brick exterior and metal roof, with tile flooring. Heating is natural gas and cooling is provided by central air.
Set on a 0.33-acre lot and approximately 2,574 square feet, the property is served by public water and private sewer. It is presented as an owner-financing or lease option opportunity for a qualified buyer.
The building is finished with brick exterior and metal roof, with tile flooring. Heating is natural gas and cooling is provided by central air.
Set on a 0.33-acre lot and approximately 2,574 square feet, the property is served by public water and private sewer. It is presented as an owner-financing or lease option opportunity for a qualified buyer.
Key Highlights
- Duplex‑style medical office with separate waiting/reception areas on each side
- Right side includes executive office with private bath, 3 exam rooms, and a lab
- Left side includes 3 exam rooms, kitchenette, and a lab
Financial Insights
Estimated NOI and Cap Rate
NOI = area × lease_rate × (100 − vacancy) / 100 × (1 − expense_ratio). Net Operating Income — what the owner takes home each year before mortgage payments and income tax. Effective rent (asking rent minus vacancy losses) minus operating costs (taxes, insurance, maintenance, management).
NOI / Yr
$27,368
Cap rate = NOI / list price × 100. Capitalization rate — annual return on a fully cash purchase, before financing. NOI divided by price. Higher means more income per dollar invested, but usually also more risk or older condition. 5–8% is typical for stabilized commercial property; double digits often signal distressed deals.
Cap Rate
6.52%
Suggested Prices Based on Cap Rates
Cap rates vary significantly by property type, market, and asset quality.
Typical U.S. stable-market ranges:
Multifamily — 4.5% to 6.5% (Class A in primary markets often sub-5%; Class C in secondary markets 6%+)
Industrial / Logistics — 5.0% to 7.0% (compressed heavily in recent years due to e-commerce demand)
Office — 6.5% to 9%+ (wide spread post-2020; CBD Class A vs. suburban Class B varies dramatically)
Retail — 5.5% to 8.5% (grocery-anchored on the low end, unanchored strip centers higher)
Hospitality / Hotels — 7.5% to 10%+ (higher due to operational risk)
Self-Storage — 5.5% to 7.5%
Medical Office — 6.0% to 7.5%
Net Lease (single tenant, credit) — 5.0% to 7.0% depending on tenant credit and lease term
Rules of thumb:
Primary markets (NYC, SF, LA, Boston, DC) trade at lower cap rates than secondary/tertiary markets, often by 100–200 bps (bps, aka basis points; 1 bp = 0.01%).
Class A assets trade ~50–150 bps tighter than Class B, and Class B tighter than Class C.
Cap rates move inversely with price — a lower cap rate means a higher price for the same NOI.
Spread to the 10-year Treasury is a common benchmark; historically 200–400 bps over the 10-year.
Cap Rate 5%
$547,360
$547.4K
Cap Rate 7%
$390,971
$391.0K
Cap Rate 9%
$304,089
$304.1K
Market Conditions
NOI Build-Up for 2,574 SF
Vacancy — income lost from leasable area expected to sit empty during the year, subtracted from gross rent.
EGI (Effective Gross Income) — gross rent minus vacancy losses, the realistic income before paying operating costs.
OpEx (Operating Expenses) — recurring costs to operate the property (property tax, insurance, utilities, maintenance, management); excludes financing and capital improvements.
NOI (Net Operating Income) — income a property generates after operating costs but before financing and taxes.
Gross rent
$51.0K $19.80/SF
− Vacancy
−$5.4K −$2.08/SF
EGI
$45.6K $17.72/SF
− OpEx
−$18.2K −$7.09/SF
NOI
$27.4K $10.63/SF
Area
Etowah County, AL
Vacancy
10.50%
Lease Rate
$19.80 /SF/Yr
Expense Ratio
40.00%
Simulate Cap Rate and NOI
Suggested Prices Based on Cap Rates
Cap rates vary significantly by property type, market, and asset quality.
Typical U.S. stable-market ranges:
Multifamily — 4.5% to 6.5% (Class A in primary markets often sub-5%; Class C in secondary markets 6%+)
Industrial / Logistics — 5.0% to 7.0% (compressed heavily in recent years due to e-commerce demand)
Office — 6.5% to 9%+ (wide spread post-2020; CBD Class A vs. suburban Class B varies dramatically)
Retail — 5.5% to 8.5% (grocery-anchored on the low end, unanchored strip centers higher)
Hospitality / Hotels — 7.5% to 10%+ (higher due to operational risk)
Self-Storage — 5.5% to 7.5%
Medical Office — 6.0% to 7.5%
Net Lease (single tenant, credit) — 5.0% to 7.0% depending on tenant credit and lease term
Rules of thumb:
Primary markets (NYC, SF, LA, Boston, DC) trade at lower cap rates than secondary/tertiary markets, often by 100–200 bps (bps, aka basis points; 1 bp = 0.01%).
Class A assets trade ~50–150 bps tighter than Class B, and Class B tighter than Class C.
Cap rates move inversely with price — a lower cap rate means a higher price for the same NOI.
Spread to the 10-year Treasury is a common benchmark; historically 200–400 bps over the 10-year.
Cap Rate 5%
$547,360
Cap Rate 7%
$390,971
Cap Rate 9%
$304,089
Alternative Uses
Best Use
Healthcare Medical
$391.0K
$342.1K – $456.1K
NOI $27,368 @ 7.0% cap · market cap 6.52%
Second Best
Office B
$237.5K
$207.8K – $277.1K
NOI $16,624 @ 7.0% cap · market cap 3.96%
Theoretical Best
Specialty Retail
$420.9K
$368.3K – $491.0K
NOI $29,460 @ 7.0% cap · market cap 7.02%
Zoning and permitted uses should be independently verified with authorities.
Property Analytics
Property Profile
Current Use
Location Intelligence
Trade Area within ½ mile
1,537
Businesses Nearby
Under-served
Demand for This Use
Explore this area
Business Placement
Demographics for 35901, AL
18,671
Population
9,075
Households
2.1
Avg Household Size
43
Median Age
22%
College-Educated
85%
High-School Grad
59.2 sq mi
ZIP Area
315
Density / Sq Mi
$47,826
Median Household Income
$30,212
Median Earnings
$747
Median Rent
$174,200
Median Home Value
Market
Vacancy Rate% for Office in South region
Questions? Ask Rey
Realmo’s AI knows this listing — price, zoning, demand, history. Ask anything.
Frequently Asked Questions
What type of property is this?
Medical Office Space - Duplex-style medical office building with two waiting areas, exam rooms, labs, and central air on a public-utility site.
Where is this medical office space located?
The property is located at 427 S 4th Street Gadsden, AL.
What is the asking price?
The asking price for this property is $419,900.
What are key features of this property?
This property features: Duplex‑style medical office with separate waiting/reception areas on each side; Right side includes executive office with private bath, 3 exam rooms, and a lab; Left side includes 3 exam rooms, kitchenette, and a lab
