Coaction Group

What Coaction Group does

Coaction Group (legal entity: Coaction International Development, Inc.) is a privately held, vertically integrated healthcare real estate development and operations firm headquartered in Guaynabo, Puerto Rico. The company serves health systems, hospital networks, physician groups, and clinical operators by developing healthcare facilities, including hospitals, medical office buildings, post-acute care centers, ambulatory surgery centers, and dialysis clinics, across the continental United States and Puerto Rico. Its core offering is a PropCo/OpCo (Property Company/Operating Company) structure that bundles real estate ownership, financing, development, asset management, and clinical operations under a single contract, marketed as the "Single-Source Advantage."

The company's underlying technology is primarily a process and capital platform rather than a software product. Its five-phase Integrated Delivery Process (Plan, Launch, Design, Build, Occupy) standardizes site selection, financial modeling, facilities and IT planning, construction management, and go-live support. Coaction retains GPO access and centralized vendor management to control procurement costs. The firm has developed 20+ healthcare facilities representing $3B+ in cumulative project value over 30+ years. Current major commitments include a $1.5 billion 300-bed acute care hospital (Texas General Medical Center) in McAllen, Texas, and a new acute care hospital (Zion Regional Medical Center) in Hurricane, Utah, both scheduled to open in 2028.

Coaction's business model generates revenue through project-based development fees, real estate ownership and asset appreciation (PropCo), and operational management fees from clinical partnerships (OpCo). Pricing is not publicly disclosed; agreements are project-specific. The company sells through direct enterprise sales targeting healthcare executives, hospital boards, and physician group leadership, supported by a four-person C-suite (CEO Glen Adams, CFO Shawn Porter, CSO Lisa Hoffpauir, and Director of Development & Construction Jared Cox). The firm is founder-owned, with no external institutional investors or funding rounds disclosed in the source data, and operates without channel partners or resellers.

Name

Coaction Group

Legal name

Coaction International Development, Inc.

Website

https://coactiongrp.com

Company type

Private

Founded year

2001

Operating status

Operating

Headcount range

11–50 employees

Short description

Coaction Group is a privately held, vertically integrated healthcare real estate development and operations firm serving health systems and physician groups across the U.S. and Puerto Rico. It uses a PropCo/OpCo structure to develop, own, and operate hospitals, medical office buildings, and specialty care facilities, with two major hospital projects opening in 2028.

Ownership category

akta.pro rank

Product category

Healthcare Real Estate Development

SIC

Operative Builders (1531)

akta.pro primary industry

For-Profit / Investor-Owned CCRCs (HLADAEAD)

Keywords

• Healthcare real estate development
• Medical facility construction
• Hospital development services
• Healthcare operations management
• Medical office buildings

Headquarters

HQ city

Chandler

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Real Estate Development (PropCo): Real Estate division focuses on acquisition, financing, development, and asset management of healthcare properties ensuring long-term value creation and facility optimization. Revenue generated through property development fees, asset management, and property appreciation.
2. Healthcare Operations (OpCo): Operations division partners with leading providers and clinical operators to deliver patient outcomes, operational excellence, and regulatory compliance. Generates revenue through operational partnerships and management fees with healthcare providers.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels2 records

Core offering

Coaction Group is a vertically integrated healthcare real estate and operations firm that develops, finances, owns, and operates healthcare facilities through a PropCo (Property Company) and OpCo (Operating Company) structure. The Real Estate division (PropCo) handles acquisition, financing, development, and asset management of hospitals, medical office buildings, post-acute care centers, and ambulatory surgery centers. The Operations division (OpCo) partners with healthcare providers and clinical operators to deliver patient outcomes, operational excellence, and regulatory compliance. The company consolidates every phase of healthcare development under one team — from site selection and financing through construction, staffing, and opening day operations — branded as the Single-Source Advantage.

Product overview

Coaction Group operates as a vertically integrated healthcare real estate and operations firm utilizing a PropCo/OpCo structure. The company offers two core product lines: the Real Estate (PropCo) division handles acquisition, financing, development, and asset management of healthcare properties; while the Operations (OpCo) division partners with providers for clinical operations and regulatory compliance. The Single-Source Advantage methodology unifies all development phases—Plan, Launch, Design, Build, and Occupy—under one team. Current major projects include Texas General Medical Center ($1.5B, 300-bed acute care in McAllen, TX) and Zion Regional Medical Center (acute care in Hurricane, UT), both opening 2028, alongside completed dialysis centers, urgent care facilities, and medical buildings across Utah and Arizona.

Differentiator

Problem solved

Functional benefit

Brands

• The Single-Source Advantage™: A consolidated approach to healthcare development that manages every phase from site selection and financing through construction, staffing, and opening day operations under one experienced team.

Products and services

• Healthcare Real Estate Development (PropCo) Real estate division focusing on acquisition, financing, development, and asset management of healthcare properties including hospitals, medical office buildings, post-acute care centers, and ambulatory surgery centers, ensuring long-term value creation and facility optimization for healthcare providers.
• Healthcare Operations Management (OpCo) Operations division partnering with leading providers and clinical operators to deliver patient outcomes, operational excellence, and regulatory compliance across healthcare facilities, generating revenue through operational partnerships and management fees.
• Texas General Medical Center A 300-bed acute care hospital development project in McAllen, Texas, representing a $1.5 billion investment bringing advanced healthcare services to the Rio Grande Valley, one of the fastest-growing areas of Texas. Scheduled to open in 2028.
• Zion Regional Medical Center A new acute care hospital development project in Hurricane, Utah serving the rapidly growing communities of Washington County, featuring full-service facilities including emergency department, surgical services, and diagnostic imaging. Scheduled to open in 2028.

Quantifiable outcome

• Faster development timelines compared to traditional multi-contractor healthcare development
• +2 more outcomes

Named customers10 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Scale indicators5 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• NexCore Group: Vertically integrated healthcare real estate developer that acquires, develops, and manages medical office buildings, hospitals, and outpatient facilities — overlapping Coaction's PropCo/OpCo model and single-source go-to-market across the US.
• Anchor Health Properties: Healthcare-focused real estate investment and development firm specializing in MOBs, outpatient, and acute care facilities — directly comparable to Coaction's healthcare facility development and asset management focus.
• Hammes Partners: Healthcare real estate consultancy and developer that partners with health systems on facility strategy, planning, and development — overlaps Coaction's integrated Plan→Launch→Design→Build→Occupy delivery approach.
• Rendina Healthcare Real Estate: Private healthcare real estate developer specializing in MOBs, ambulatory care, and outpatient facilities — directly comparable to Coaction's medical office building and specialty care center development activity.
• Caddis Partners: Healthcare real estate investment and development firm building medical office buildings, specialty facilities, and outpatient centers — comparable scope and customer base to Coaction's facility development business.

Broad incumbents

• Medical Properties Trust: Public hospital-focused REIT that owns and leases acute care real estate — operates at vastly greater scale in the same healthcare PropCo asset class Coaction's real estate division targets.
• Healthcare Realty Trust: Public REIT owning medical outpatient facilities and physician office buildings — broader incumbent in the healthcare real estate asset class overlapping Coaction's MOB and outpatient focus.
• Ventas: Large diversified healthcare REIT with hospital, MOB, and outpatient exposure — a major incumbent owner competing for the same operator/customer relationships Coaction courts.
• Welltower: Public healthcare REIT with senior housing, outpatient medical, and post-acute portfolios — a scaled incumbent broadly comparable in healthcare facility ownership though skewed to senior care.

Others

• Ardent Health Partners: Acute care hospital operator and owner — relevant as a potential OpCo partner or operator-side counterpart for the kind of health-system-led acute care builds Coaction develops through its PropCo/OpCo structure.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks5 records

Key highlights5 records

Customer concentration

• Xx.com/thecoactiongrp

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

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 Coaction Group