Healthcare

NAI James E. Hanson’s Healthcare Division advises health systems, physician groups, specialty practices, investors, developers, and REITs on the real estate decisions that shape clinical delivery, capital deployment, and portfolio value. As a designated member of the NAI Global Healthcare Advisory Group, our division operates within an international platform of healthcare specialists. We deliver strategic transaction management supported by a deep bench of services, fluency in Stark Law and Anti-Kickback Statute compliance, and local market intelligence that translates into advantageous outcomes.

The healthcare real estate landscape is evolving rapidly. Rising construction costs, shifting demographics, regulatory pressures, and new care delivery models are redefining how real estate must perform. Sale-leaseback activity continues to accelerate, MOB occupancy sits at decade highs, and NJ runs even tighter, with dense population, limited new construction, and an aging demographic driving sustained outpatient demand.

What We Advise On

• Medical Outpatient Buildings (MOBs). Acquisitions, dispositions, leasing strategy, and development positioning for the fastest-growing segment of healthcare real estate.
• Physician Sale-Leasebacks & Real Estate Monetization. Structures that unlock capital while preserving operational control and clinical continuity, priced to current NJ cap rate ranges, with tenant credit, lease term, and on-campus positioning driving where assets clear.
• Portfolio Strategy & Capital Planning. Dispositions, joint ventures, monetization, and capital markets execution aligned with network and balance-sheet objectives.
• Healthcare Tenant Representation. Lease negotiations, expansions, relocations, and renewals for health systems, physician groups, and specialty practices.
• Healthcare Agency & Landlord Representation. Leasing strategy, tenant curation, and asset positioning for owners of medical office and healthcare- anchored properties.
• Specialty Practice Site Selection. Location strategy, demographic and referral-pattern analysis, and site identification.
• Regulatory & Certificate of Need Intelligence. Navigating CON-state requirements that gate new facility development and shape competitive dynamics.
• Stark & Anti-Kickback Guidance. Transactions structured with attention to fair market value, commercial reasonableness, and the regulatory framework governing physician relationships.
• Capital Markets Strategy. Capitalization, recapitalization, joint ventures, and targeted investor outreach to private equity, family offices, international capital, and healthcare REITs.

Market Intelligence & Data-Driven Strategy

Healthcare real estate decisions cannot be made on instinct. Our analytics are calibrated to healthcare fundamentals such as reimbursement trends, payer mix, physician credit, lease structure norms, and the demand drivers that distinguish healthcare from conventional commercial real estate:

• Market share analysis. Competitive positioning by geography.
• Provider density data. Supply mapping to identify underserved markets.
• Demographic trends. Age cohort shifts and care demand forecasting.
• Specialty demand modeling. Utilization projections by service line.
• Market trend reporting. Absorption, rental rates, and development pipeline.

New Jersey Roots, International Reach

Our healthcare practice is built on deep New Jersey expertise, with established relationships across every major health system in the state. As a member of the NAI Global Healthcare Advisory Group, we extend that local foundation through a network of healthcare specialists with relationships spanning local practices, regional specialty groups, national REITs, and international investors. From physician owners and MOB landlords on the corner to capital sources across the globe, we work at every level of the market and bring all of it to every engagement.

The result is a rare combination: local knowledge of New Jersey healthcare markets paired with the global reach of NAI’s healthcare platform, delivering thoughtful counsel and decisive execution for every client.