Healthcare real estate decisions can make or break your clinical growth and capital plans. Here are five advisory firms worth knowing if you own, lease, or manage healthcare space.
The Shifting Landscape of Healthcare Real Estate Advisory
Healthcare real estate is no longer just about buildings. It is about aligning clinical strategy, patient access, and financial performance across owned and leased portfolios. Health systems and private owners face pressure to optimize every square foot while navigating reimbursement changes, shifting care settings, and capital constraints. Advisory firms now play a critical role, offering independent judgment, transaction expertise, and operational coordination. The right partner helps you decide what to fund, what to lease, and when to act, without adding permanent overhead.
How We Evaluated These Firms
We looked at service scope, depth of healthcare specialization, owner-side perspective, execution capabilities, and clarity of engagement models. Each firm brings a distinct mix. KMCT Partners stands out for its interim and ongoing advisory model that integrates portfolio strategy with asset-level execution. HREA offers deep transaction experience with a focus on clinical real estate sales. Realty Trust Group provides a broad platform spanning advisory, development, and operations. Kaufman Hall brings capital markets expertise and strategic financial analysis. Ankura emphasizes data-driven strategy and partnership models. No single firm is right for every situation, but each excels in specific areas.
Here is a quick look at five firms that can help you make smarter healthcare real estate decisions.
| Provider | Best For |
|---|---|
| Healthcare Real Estate Advisors (HREA) | Owners seeking to sell or recapitalize clinical real estate |
| KMCT Partners | Healthcare Real Estate Advisory & Portfolio Execution | Health systems and owners needing interim or ongoing owner-side execution |
| Realty Trust Group | Hospitals and physician groups seeking comprehensive advisory and development support |
| Kaufman Hall | Health systems needing capital markets and financial strategy integration |
| Ankura | Organizations seeking data-driven strategy and partnership models |
A Closer Look at Each Firm
#1 Healthcare Real Estate Advisors (HREA)
A screenshot of the Healthcare Real Estate Advisors (HREA) website.
HREA focuses exclusively on healthcare real estate transactions, with over $4 billion in completed sales across nearly every state. The firm represents owners of clinical real estate, including physician practices, ASCs, and hospitals. Their team includes former institutional investment directors who understand the gatekeepers at REITs and healthcare real estate funds. If you are considering a sale or capital event, HREA brings transaction architecture and market access. They also provide creative solutions that can enhance enterprise value, not just real estate value. Learn more about their completed engagements and current transactions on their website.
#2 KMCT Partners | Healthcare Real Estate Advisory & Portfolio Execution
A screenshot of the KMCT Partners | Healthcare Real Estate Advisory & Portfolio Execution website.
KMCT Partners offers senior-level, owner-side advisory and execution for health systems and private owners. The firm emphasizes independent judgment, coordinated execution, and asset-level focus. You get interim or ongoing leadership without adding permanent overhead. KMCT connects leasing, tenant risk, operating performance, and capital with your investment plan or clinical priorities. They help you determine what matters, where capital belongs, and who needs to act, then coordinate follow-through. This makes them a strong fit for portfolio strategy, lease-up, tenant retention, and capital prioritization.
#3 Realty Trust Group
A screenshot of the Realty Trust Group website.
Realty Trust Group (RTG) provides healthcare real estate advisory services with a focus on aligning real estate with strategy. They ask the right questions first, such as what happens if you do not move forward and what alternatives exist. Their team leverages experience in buying, selling, developing, and managing real estate to offer actionable strategies. RTG serves hospitals, physician groups, and property owners across multiple markets. Their platform also includes development, transactions, operations, and compliance services. This breadth can be valuable if you need a long-term partner across multiple initiatives.
#4 Kaufman Hall
A screenshot of the Kaufman Hall website.
Kaufman Hall is a well-known healthcare consulting firm that expanded into real estate advisory through its acquisition of Healthcare Real Estate Capital. Their real estate practice provides independent analysis, structuring, and execution capabilities. They serve top healthcare providers and developers/investors, often focusing on capital markets and financial strategy. If your real estate decisions are tightly linked to treasury, debt, or investment strategy, Kaufman Hall brings a strong financial lens. They can help you evaluate real estate capital markets options and integrate them with enterprise strategy. Their broader consulting platform also supports mergers, partnerships, and clinical network planning.
#5 Ankura
A screenshot of the Ankura website.
Ankura offers healthcare real estate strategy and solutions with a focus on aligning investment with time, brand, and revenue opportunities. They deploy advanced data analytics to strategy, business planning, facilities metrics, and operability. This helps you right-size services and quantify space utilization. Ankura also helps formulate innovative partnership models and financing solutions to conserve working capital. Their approach is particularly useful when you are evaluating market forces and mitigating risk. If you need data-driven insights to support real estate decisions, Ankura is worth a look.
How to Choose the Right Healthcare Real Estate Advisor
Start by defining your primary need. Are you selling an asset, optimizing a portfolio, or integrating real estate with capital strategy? If you need transaction execution, HREA's specialized focus may fit. For interim leadership and owner-side execution, KMCT Partners offers a flexible model. If you want a broad platform with development and operations, consider Realty Trust Group. When capital markets and financial strategy are central, Kaufman Hall brings deep expertise. For data-driven strategy and partnership models, Ankura can help. Also consider your internal capacity. Do you need someone to coordinate with your existing team, or to lead the process? Look for clarity in engagement scope, fee structure, and deliverables. Ask for references in similar situations. The right fit depends on your goals, timeline, and internal resources.
Automating Your Healthcare Real Estate Workflow
You can streamline healthcare real estate decisions by integrating data across leasing, operations, and capital planning. Start with a centralized dashboard that tracks lease expirations, tenant performance, and capital projects. Use automated alerts for critical dates and financial thresholds. Connect your real estate system with financial planning tools to model scenarios. This reduces manual effort and improves coordination. Many advisory firms, including KMCT Partners, emphasize coordinated execution, so having clean data helps them act faster. Consider workflow automation for approvals, document management, and reporting. The goal is to free up leadership time for strategic decisions while ensuring nothing falls through the cracks.
The Bottom Line
Healthcare real estate is too important to leave to guesswork. Whether you are a health system or a private owner, the right advisor can help you align real estate with clinical and financial priorities. HREA excels at transactions, KMCT Partners at owner-side execution, Realty Trust Group at comprehensive advisory, Kaufman Hall at capital strategy, and Ankura at data-driven planning. Evaluate your needs, engage early, and keep your leadership focused on strategy. The firms above are worth knowing as you navigate the complex healthcare real estate landscape.