Realty Trust Group Advises Northside Hospital on Strategic Real Estate Transactions
Atlanta, GA, May 2026 – Northside Hospital recently completed a series of strategic real estate transactions involving seven medical office properties totaling over 800,000 square feet and approximately $266 million in value. The transactions were structured to realign key real estate assets as part of a larger third-party capital partnership strategy. The buyers included two separate institutional capital partners who purchased the properties subject to long-term ground leases and other covenants.
Realty Trust Group (RTG) served as Northside’s strategic advisor throughout the process, working alongside hospital leadership to evaluate partnership options, lead a competitive process to identify new capital partners, structure the transactions to best align with the health system’s long-term goals, and execute each transaction through closing.
This transaction reflects a growing trend among health systems seeking to maintain control of key medical office properties while leveraging third-party capital partnerships.
RTG guided Northside through a complex and time-sensitive process, managing a multi-asset transaction that included seven properties, structuring ground leases, and balancing multiple financial considerations, while ensuring the health system maintained key control provisions.
“Health systems are increasingly facing capital constraints and seeking creative real estate strategies to help balance capital planning with long-term control considerations,” said Charlie Dickhaus, Senior Vice President of RTG. “In evaluating these important decisions, it is critical to have an objective advisor who can analyze alternatives, create optionality, and represent the health system’s interests in securing the right capital partner.”
RTG’s advisory-first approach enabled Northside to navigate the transaction with a clear strategy balancing speed, market dynamics, and long-term operational and financial considerations.
This engagement highlights RTG’s ability to support health systems through complex real estate transactions beyond traditional development projects. From evaluating alternatives to structuring and negotiating with capital partners, RTG helps health systems maintain control, reduce risk, and align real estate decisions with enterprise strategy.
To learn more about Realty Trust Group, visit www.realtytrustgroup.com.
Realty Trust Group, LLC (RTG) is a national leader in providing comprehensive real estate solutions for the healthcare industry. Since 1998, we have worked alongside healthcare leaders to leverage real estate as a strategic asset helping to save money, manage risks, create physician alignment, and increase market share. At RTG we lead with an advisory-first approach, delivering innovative strategies and operational best practices that help healthcare leaders optimize their real estate portfolios. Our services span advisory, development, transactions, operations, and regulatory compliance, allowing us to tailor solutions for specific projects or provide long-term portfolio management.