Frequently Asked Questions

Whether you’re a health system executive, physician leader, or investor, navigating the complexities of healthcare real estate requires the right partner. At Realty Trust Group (RTG), we help you align real estate strategies and drive growth across your organization. Explore our most frequently asked questions below to learn more about who we are, what we do, and how we can support your organization.

HOW LONG HAS RTG BEEN IN BUSINESS?

RTG has been providing healthcare real estate advisory, development and management services since 1998. With over 25 years of experience, we help healthcare organizations across the country align real estate strategy and drive growth through healthcare real estate platforms.

Who is Realty Trust Group (RTG)?

RTG is a national leader in healthcare real estate advisory services. We work exclusively in the healthcare industry, partnering with hospitals, health systems, and physician groups to build best-in-class real estate platforms and leverage real estate as a strategic asset.

What does RTG do?

RTG helps healthcare organizations manage their real estate portfolios more efficiently—aligning real estate strategy with clinical, operational, and financial goals. We provide expert guidance across advisory, development, operations, compliance, and transactions to help leaders save money, reduce risk, and drive growth.

What services does RTG offer?

Our services span the entire healthcare real estate lifecycle, including:

  • Advisory Services – Strategic planning, portfolio assessment, feasibility studies, and other real estate consulting
  • Operations – Property management, lease administration, and property accounting
  • Compliance – Guidance on Stark Law, Anti-Kickback Statute, and real estate fair market value (FMV) matters
  • Development – Full-service project and program management for healthcare facilities spanning medical office buildings (MOBs), ambulatory surgery centers (ASCs), oncology centers, and inpatient / acute care facilities
  • Transactions – Site selection, leasing, acquisitions, and portfolio monetization

How is RTG different from other real estate firms?

RTG is more than a traditional real estate service provider—we are objective, healthcare-focused real estate advisors. Our advisory-first approach ensures strategic alignment, and our ability to scale implementation and execution sets us apart. We don’t offer off-the-shelf products; instead, we provide customized, data-driven solutions backed by industry expertise and leading technology platforms.

Who does RTG serve?

We serve a wide range of healthcare organizations, including:

  • Health systems and hospitals, including integrated healthcare systems, academic medical centers, specialty and community hospitals
  • Physician groups and specialty practices
  • REITs and other owners of healthcare real estate portfolios
  • Private equity-backed healthcare platforms

These organizations partner with RTG for help navigating complex real estate regulations, improving property performance, and planning for long-term success.

Where does RTG operate?

Our team of over 150 real estate professionals is capable of supporting clients nationwide. RTG supports healthcare clients through regional offices in:

 

We also have team members in additional locations such as:

  • Birmingham, AL
  • Dallas, TX
  • South Florida (Ft. Lauderdale / Miami)
  • Vero Beach, FL
  • Pensacola, FL
  • St. Augustine, FL
  • Jackson, TN
  • Spartanburg, SC
  • St. Louis, MO

What is RTG's relationship with PYA?

RTG and PYA are strategic partners jointly serving the healthcare industry. PYA is a privately held professional services firm serving clients in all 50 states. Ranked as one of the nation’s Top 20 healthcare consulting firms, PYA specializes in healthcare strategy, valuation, compliance, tax, and accounting services.

Together, RTG and PYA offer integrated solutions that help healthcare organizations align real estate, financial planning, and regulatory strategy. This partnership enables us to deliver broader insight, seamless collaboration, and added value for clients navigating complex healthcare challenges.

How can I learn more or request a consultation?

Visit www.realtytrustgroup.com to explore our services and case studies. You can also fill out our online contact form or call 865-521-0630 to speak directly with a member of our team.

Still Have Questions? Let’s Talk.

Our team is here to help you take the next step—whether you’re exploring a new project, evaluating your real estate portfolio, or simply looking for strategic guidance.