Duplex-Style Medical
For Sale
$419,900
427 S 4th Street, Gadsden, AL 35901
Business Opportunity, Gadsden, AL
Property Size2,574 SF
Lot Size0.33 Acres
Price / SF$163.13
Days on Market66
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 2, Bathroom 1, Bathroom 3
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: Sep 12
Last Checked: Sep 18 at 1:06AM
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.
This 2,574-square-foot medical office occupies a 0.33-acre site at 427 S 4th Street in Gadsden. The duplex-style configuration provides separate right- and left-side layouts, each with a waiting and reception area, exam rooms, an office, and laboratory space. The right side also includes an executive office with a private bath and a patient bathroom, while the left side adds a kitchenette and patient bathroom.
The property is near Riverview Regional Medical Center and provides access to Downtown Gadsden from Rainbow Drive. Brick construction, metal roofing and siding, tile flooring, central air, and natural-gas heating contribute to the building’s physical configuration. Public water and private sewer serve the property.
The property is near Riverview Regional Medical Center and provides access to Downtown Gadsden from Rainbow Drive. Brick construction, metal roofing and siding, tile flooring, central air, and natural-gas heating contribute to the building’s physical configuration. Public water and private sewer serve the property.
Key Highlights
- 2,574 SF medical office on a 0.33‑acre site
- Separate right- and left‑side layouts with waiting areas, exam rooms, offices, and labs
- Right side includes executive office with private bath
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
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Open Analytics
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
Check the figures for this property
Cap Rate, Value Estimation, Potential NOI and more
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Market
Vacancy Rate% for Office in South region
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Frequently Asked Questions
What type of property is this?
Medical Office Space - Two-sided medical layout with reception areas, exam rooms, laboratories, offices, and a kitchenette.
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: 2,574 SF medical office on a 0.33‑acre site; Separate right- and left‑side layouts with waiting areas, exam rooms, offices, and labs; Right side includes executive office with private bath
