Healthcare Real Estate Transaction Services

Need experienced representation on your next transaction?


RTG provides highly experienced, independent, and objective representation for transactions related to acquisition or disposition of properties, and landlord and tenant representation.


RTG has worked with numerous health systems, hospitals, and physician groups, each distinct in their own way. We often find a common theme among many of our clients—an ongoing challenge to balance the tactical nature of transactions, or the “how”, with the overall strategy set by the client, or the “why” a transaction should be considered. These elements must each be addressed, while also balancing healthcare compliance considerations. Careful, precise management of transactions can align existing real estate assets and future real estate investments with the crucial strategic, operational, and financial goals of the organization.


When acquiring or disposing of a property or portfolio, completing the appropriate due diligence tasks is necessary to ensure proper risk management. There are physical, legal, and financial aspects to due diligence that must be completed, generally within a short time frame. RTG has the right team of experienced healthcare real estate advisors to assist with these processes, helping you mitigate risk and close a successful transaction.

Healthcare Transactions Services

Due Diligence

  • Feasibility Analysis
  • Zoning/Entitlement
  • Physical Due Diligence
  • Financial Due Diligence

Tenant Representation

  • Market Survey
  • Site Selection
  • Financial Analysis
  • Lease Negotiation
  • Compliance Oversight


  • Asset Review
  • Land / Building Transactions
  • Investment Sales
  • Portfolio Monetization

Landlord Representation

  • Market Assessment
  • Space Allocation & Management
  • Leasing & Marketing
  • Transaction Management
  • Compliance Oversight

Healthcare Transactions Thought Leadership


As capital demand for information and medical technology, physician alignment and other initiatives becomes more persistent, health systems are once again pursuing strategies to unlock equity from existing non-core real estate assets, as well as utilizing new vehicles in the form of third-party capital partners for new facility development projects. In addition to health systems, many large physician groups which have elected to own their real estate for business reasons are frequently dealing with similar issues as they align with hospitals and health systems in record numbers. The physician groups may be required to relocate or sell their owned medical office space prior to the affiliation for either regulatory, business or strategic reasons. This Realty Trust Group white paper explores the history of these transactions, summarizes current activity and the benefits for the owner/ seller, and looks ahead at what the future may bring in this sector.

Best Practice: 5 key considerations for physician leases

Each year, Realty Trust Group works with many different health systems, physician practices and other providers on a variety of real estate projects.


As healthcare delivery changes, so too does each provider’s real estate needs. In today’s evolving healthcare market, for most physician practices, a lease transaction often goes far beyond the bricks and mortar.


In this Best Practices Briefing, we discuss five key considerations for physician leases.

What Our Clients Say


I can trust RTG to do what’s best for Northside. Northside is always looking to grow, and RTG gets a lot of leads because of their involvement in the industry. Sometimes they bring a lead to us or they’ll go find it if we identify the need or area.

— Doug MacDonald, VP of Strategy and Real Estate, Northside Hospital Healthcare System

Connect with Us

Craig Flanagan

Vice President


Phone: 404-942-3176


Chad Simpson

Executive Vice President


Phone: 865-521-0630


Need experienced representation on your next Transaction?