Who This Is For
RealNet works with healthcare operators and Management Services Organizations (MSOs) that view real estate as a strategic input to clinical operations—whether addressing a single facility need or supporting broader growth initiatives.
• Clinical operators addressing a specific facility need or market opportunity
• Management Services Organizations (MSOs) supporting one or more practices requiring real estate alignment
• Physician groups evaluating relocation, consolidation, or facility replacement
• Operators and MSOs seeking to occupy existing buildings, redeveloped assets, or purpose-built facilities
• Organizations operating in rural, secondary, or underserved markets where real estate is a constraint
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.
Operator Economics
& Strategic Fit
Healthcare real estate economics are distinct from traditional commercial assets. RealNet evaluates partnership opportunities through an operator lens, considering:
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Facility sizing aligned to care model and visit volumes
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Phasing strategies matched to ramp and reimbursement timing
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Capital efficiency and downside protection
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Flexibility for service-line expansion or contraction
This approach allows operators and MSOs to solve real estate challenges without diverting disproportionate capital or attention away from clinical operations—whether the need involves a single facility or a broader footprint.
Where RealNet Is Most Helpful
RealNet is most effective when real estate decisions are closely tied to operational performance, growth strategy, and capital discipline.
We typically engage where facility strategy meaningfully impacts access, unit economics, or the pace of expansion—particularly in underserved, secondary, or operationally complex markets.
What This Is — and Is Not
What This Is
RealNet is a real estate development and advisory partner focused on supporting healthcare operators through feasibility, structuring, and execution. We engage where real estate decisions materially impact care delivery, access, operator economics, or the pace of growth.
Our role is to absorb real estate complexity so operators can remain focused on clinical operations, staffing, and long-term platform performance.
What This Is Not
RealNet is not a healthcare operator, broker, or speculative developer. We do not pursue one-off projects without defined demand, operator alignment, or a clear execution pathway.
We engage selectively, prioritizing long-term alignment over transactional activity.
Start a Partnership Conversation
If you are evaluating a new market, clinic format, or expansion strategy, we welcome the opportunity to explore alignment.
Please share details about your organization, the markets or sites under consideration, and the type of partnership you are exploring. A member of the RealNet team will follow up to discuss next steps.