Healthcare Real Estate Development Services

Are you considering a new healthcare real estate development project?

Whether ground-up construction, facility expansion, or interior renovation, Realty Trust Group (RTG) has the experience and resources to successfully develop hospital, acute care, and ambulatory facility projects. Healthcare real estate development is a significant expense with considerable risks. Clients need the right plan from the beginning; a lack of expert oversight is not an option. After all, once it’s constructed, it can’t be moved.

Capital resources are limited and in high demand across the health system. Facility investments must be thoroughly analyzed before construction and managed closely during project delivery. From concept to close-out, our team provides an owner’s representative mindset to ensure an efficient and effective development program, always tracking and communicating key metrics of time, quality, and cost. Clear, open communication and adaptability ensure the project team delivers a successful project.

From conceptualization to occupancy, RTG manages each real estate development project to help healthcare leaders save costs, manage risks, and enhance care delivery for patients in the community.


Outpatient Developer Nationally In 2024


Top 10 Development Companies by Modern Healthcare

Healthcare Development Services

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Project Launch

Facility Planning

  • Operational Assessment
  • Design Coordination
  • Budget & Schedule Development
  • Equipment & Technology Assessment

Program Management

  • Punchlist and Closeout
  • Move Management
  • Staff Orientation
  • Post Occupancy Assessment

Featured Case Study


The Peeples Cancer Institute project is so much more than building a building. It is strategically relocating a multitude of oncology services under one roof without missing a beat in patient care. Realty Trust Group has been an integral partner in not only the oversight of the construction project, but also the transition planning.

— Ernie Elemento, Jr., Vice President for Professional Services,
Hamilton Health Care System

Healthcare Development Case Studies

Healthcare Development Thought Leadership

White Paper: Risk Considerations for the Design-Build Project Delivery Method

The design-build process is well-suited for fast-track construction projects. Under fast-track construction, design and construction activities overlap. Construction begins before the completion of all project plans and specifications. A design-builder can proceed with construction as incremental portions of the design are completed with greater confidence that serious problems and the need for significant changes will not occur. When this process works as anticipated, the project is completed faster and at less cost.

Best Practice: 5 key considerations when choosing a healthcare real estate developer

Healthcare real estate is complex and requires an experienced team. It is important to choose a developer with healthcare industry experience spanning the various construction, regulatory, and ownership aspects of your project. RTG routinely leverages our experience to guide healthcare organizations through the development process.

This white paper provides best practice guidelines to consider as you begin your next development project.

What Our Clients Say


The first thing Realty Trust Group helped us do was create a real estate strategy for the growth of our medical practice that was achievable and affordable.

They helped us form the right team for our facility design that was focused on our patients and an ownership model that made sense long-term for our physicians.

— Jeff Dew, CEO of Gastrointestinal Associates

Connect With Us



Vice President of Development Services


Considering a new healthcare construction project?