Healthcare Real Estate Designed Around Operators
RealNet applies disciplined real estate fundamentals to healthcare delivery—collaborating with clinicians, MSOs, and care models to develop purpose-built facilities in underserved and growth markets.
Current Status: Feasibility and operator partner sourcing underway. Opportunities are shared directly when available.
From Concept to Execution
Healthcare delivery is shifting toward outpatient care, smaller footprints, and distributed access points. In many rural and secondary markets, absorbable demand exists but suitable facilities do not — due to obsolete buildings, high construction costs, and historical misalignment between landlords and operators.
RealNet focuses on right-sized, purpose-built facilities designed to align real estate fundamentals with provider economics, community demand, and long-term sustainability.
Development Approach
RealNet applies a flexible healthcare real estate approach that includes existing-facility acquisition, adaptive reuse, and new development—based on operator needs, market conditions, and timing. Projects are shaped in collaboration with clinicians, specialty groups, and MSOs, with a focus on capital efficiency, operational fit, and long-term sustainability.
Who This Is For
RealNet works with healthcare operators and Management Services Organizations (MSOs) addressing real estate needs ranging from single-facility solutions to broader growth initiatives.
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Healthcare operators evaluating a facility need or expansion
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MSOs supporting clinical groups with real estate strategy or execution
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Physician-led practices seeking right-sized, operator-aligned facilities
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Owners or communities exploring healthcare-driven redevelopment
How We Work
with Operators
RealNet works with clinical operators and their affiliated Management Services Organizations (MSOs) to evaluate real estate solutions across a range of scenarios—whether addressing an immediate facility need, acquiring an existing building, repositioning an asset, or planning longer-term growth. Our role is to align real estate strategy with clinical operations and financial realities, reducing friction via added expertise and capital.
Feasibility-First Engagement
Market demand, site constraints, reimbursement dynamics, and operator economics are evaluated before design or development advances—ensuring real demand supports each project.
Operator-Aligned Structuring
Facility design, lease structures, and capital deployment are shaped around care models and staffing realities—not generic medical office assumptions.
Execution-Ready Pathways
RealNet supports execution through the most appropriate pathway—whether acquiring and delivering existing facilities, overseeing redevelopment, or supporting ground-up development.
How RealNet Adds Value
RealNet adds value by aligning real estate strategy with clinical operations, capital constraints, and long-term objectives. Our role is not simply to deliver facilities, but to help operators and owners make better real estate decisions across market cycles—reducing risk, preserving flexibility, and improving outcomes over time.
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Operator-aligned real estate strategy
Facilities, lease structures, and capital deployment shaped around how care is actually delivered—not generic medical office assumptions. -
Capital efficiency and downside protection
Real estate decisions evaluated through the lens of balance sheet impact, timing risk, reimbursement sensitivity, and long-term optionality. -
Execution experience across asset types and cycles
Insight informed by ownership, redevelopment, adaptive reuse, and operational real estate—not theory or single-cycle development. -
Long-term stewardship and advisory support
RealNet remains engaged beyond delivery, supporting ownership decisions, recapitalization, and strategic transitions as needs evolve.
Delivery Models
Modular
Rural Clinics
Small-format clinics designed for efficient deployment in underserved and high-demand rural markets, improving speed-to-open and capital discipline.
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Right-sized footprints aligned with outpatient care models
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Efficient patient and staff flow
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Designed for predictable operator economics
Adaptive-Reuse Regional Hubs
Redevelopment of existing buildings into multi-tenant outpatient hubs supporting specialty care, diagnostics, and complementary services.
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Flexible layouts supporting multiple service lines
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Build-to-suit where appropriate, reuse where efficient
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Designed to create regional density and shared resources
Existing Facility Acquisition and Reposition
Acquisition of properties to meet immediate clinical needs, reduce time-to-open, or support cost-effective expansion.
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Faster deployment than ground-up development where appropriate
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Lower upfront capital and construction risk
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Tailored renovations aligned with clinical operations
Start a Conversation
RealNet works with MSOs, clinic operators, DPC models, and employer-driven care systems to evaluate and structure right-sized healthcare facilities.