Realty Trust Group

What Realty Trust Group does

Realty Trust Group (RTG) is a privately held, healthcare-exclusive real estate advisory and services firm founded in 1998 and headquartered in Knoxville, Tennessee. The firm delivers an integrated platform — branded RTG360 — spanning six service modules: Advisory, Development, Transactions, Operations, Compliance, and Life Science. RTG serves hospitals and health systems, physician groups, property owners, and life science organizations, providing services across the full healthcare real estate lifecycle including strategic portfolio planning, facility development oversight, transaction execution, property and lease administration, and regulatory compliance (Stark Law, Anti-Kickback Statute, False Claims Act). The firm reports managing over 26 million square feet of healthcare real estate, $1.3 billion in development projects delivered, $3.4 billion in completed transaction volume, and engagement across 40+ states with 5,000+ healthcare access points facilitated.

RTG monetizes through professional services engagements on a quote-based, customized model rather than standardized or publicly disclosed pricing. Its go-to-market is enterprise field sales, acting as an extension of healthcare leadership teams via consultative engagements and referrals. Supporting the human services are proprietary technology sub-products: RTG PinPoint, a cloud-based portfolio dashboard analytics platform, and RTG DataBridge, a software integration layer. The firm also maintains a strategic alliance with PYA, P.C., a Top 20 national healthcare consulting firm, providing integrated compliance, valuation, tax, and accounting capabilities that extend RTG's value chain into adjacent professional services.

The firm operates from seven regional offices (Knoxville, Atlanta, Greensboro, Houston, Johnson City, Nashville, Tampa) with a team of 150+ real estate professionals. RTG was ranked #1 Outpatient Developer Nationally by Modern Healthcare in 2025, has been on Modern Healthcare's Top Development Companies list for 10 consecutive years, and has been named a Modern Healthcare Best Place to Work for six consecutive years. Named enterprise clients include Ballad Health, Northside Hospital, Harbin Clinic, UT Medical Center, Tampa General Hospital, Cone Health, University of Kansas Health System, and Baptist Health Care. RTG is a bootstrapped, privately held LLC with no disclosed institutional investors, parent company, or external ownership.

Name

Realty Trust Group

Legal name

Realty Trust Group, LLC

Website

https://realtytrustgroup.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

101–250 employees

Short description

Realty Trust Group is a privately held, Knoxville-headquartered healthcare real estate firm founded in 1998 that exclusively serves hospitals, health systems, physician groups, property owners, and life science organizations through an integrated RTG360 platform spanning advisory, development, transactions, operations, and compliance services across 40+ U.S. states.

Ownership category

akta.pro rank

Headquarters

HQ city

Knoxville

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Professional Services: RTG generates revenue through a comprehensive platform of advisory, development, transactions, operations, and compliance services for healthcare organizations. Services span the entire healthcare real estate lifecycle including strategic planning, facility development, property management, and regulatory compliance.

Go-to-market motion1 record

Distribution channels4 records

Marketing channels9 records

Core offering

Realty Trust Group (RTG) is a healthcare-exclusive real estate advisory firm delivering integrated strategy, development, transactions, operations, and compliance services to hospitals, health systems, physician groups, and life-science owners. Its work spans the full lifecycle of medical real estate — from master planning and site selection to acquisitions, dispositions, leasing, property management, and regulatory compliance — coordinated through its proprietary RTG360 platform.

Product overview

Realty Trust Group (RTG) provides innovative healthcare real estate solutions through a full-platform of service modules. The core offering is organized under the RTG360 integrated service platform, which unifies six distinct service modules: Advisory, Development, Transactions, Operations, Compliance, and Life Science. Supporting these service lines are proprietary technology sub-products including RTG PinPoint (a cloud-based dashboard analytics and portfolio tracking platform) and RTG DataBridge (a software integration and data connectivity layer). RTG also offers a Portfolio Management Services module and a Healthcare Real Estate Optimization framework. Together, these products and services enable healthcare leaders to manage real estate as a strategic asset across the full lifecycle from strategic planning through facility development, transaction execution, and ongoing operations and compliance.

Differentiator

Problem solved

Functional benefit

Products and services

• RTG360 — Integrated Healthcare Real Estate Advisory Platform

Quantifiable outcome

• Over $9 million in annualized savings for Ballad Health through M&A real estate consolidation
• +5 more outcomes

Named customers20 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

One partnership is on record.

• PYA, P.C.coreStrategic or Co-development PartnerRTG and PYA are strategic partners jointly serving the healthcare industry. PYA is a privately held professional services firm serving clients in all 50 states, ranked as one of the nation's Top 20 healthcare consulting firms. Together they offer integrated solutions combining real estate expertise with healthcare strategy, valuation, compliance, tax, and accounting services.

Scale indicators15 records

Expansion highlights5 records

Direct peers

• Pacific Medical Buildings: A healthcare real estate firm specializing in the development, ownership, and management of MOBs and ambulatory facilities. Comparable in healthcare-only focus and integrated development/operations offerings.
• Hammes Partners: A national healthcare real estate advisory and development firm focused exclusively on healthcare providers, offering strategy, development, and asset management services. Highly comparable to RTG's integrated platform model and healthcare-only focus.
• NexCore Group: A national healthcare real estate developer focused on MOBs, ambulatory care, and specialty facilities for health systems. Comparable to RTG in healthcare-exclusive development and advisory services.
• Anchor Health Properties: A healthcare real estate company specializing in medical office building (MOB) development, leasing, and management for health systems and physician groups. Directly comparable to RTG's development, transactions, and operations service lines.
• Blueprint Healthcare Real Estate Advisors: A boutique real estate advisory firm focused exclusively on healthcare providers, offering capital planning, portfolio strategy, and transaction services. Comparable in vertical specialization and advisory-first model.

Broad incumbents

• Transwestern Healthcare Real Estate: Transwestern's healthcare practice provides leasing, investment sales, and property management for medical office and healthcare facilities. Competes with RTG in healthcare property management and transactions as part of a larger CRE platform.
• JLL Healthcare (Jones Lang LaSalle): The healthcare practice of global CRE giant JLL, providing brokerage, capital markets, property management, and advisory to health systems. Competes with RTG in advisory and transactions but at much larger scale and broader service scope.
• Colliers International Healthcare Services: The healthcare practice of Colliers provides brokerage, project management, and consulting for hospitals and medical office portfolios. Overlaps with RTG's transactions and advisory offerings within a broader global CRE platform.
• CBRE Healthcare: The healthcare real estate practice of CBRE Group, offering investment sales, leasing, valuation, and consulting to healthcare providers. Competes with RTG on transactions and advisory but as part of a much broader CRE platform.
• Cushman & Wakefield Healthcare: Cushman & Wakefield's healthcare real estate practice provides brokerage, property management, and consulting for health systems and medical office portfolios. Comparable to RTG in healthcare transactions and operations, but embedded in a global full-service CRE firm.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@RTGHealthcare
• Facebookfacebook.com/RTGHealthcare
• LinkedInlinkedin.com/company/rtghealthcare

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Realty Trust Group