Healthcare Real Estate Advisors

What Healthcare Real Estate Advisors does

Healthcare Real Estate Advisors (HREA) is a privately held commercial healthcare real estate advisory firm that represents owners of healthcare facilities in the sale of clinical real estate and originates capital for new development. The firm serves physician-owned practices, ambulatory surgery centers (ASCs), specialty and acute-care hospitals, and health systems, as well as the investor side of the market (REITs, institutional private equity, pension funds, family offices, and private buyers). Services span multi and single-tenant investment sales, sale-leaseback transactions — including an in-house Hybrid Sale-Leaseback structure designed to deliver tax-deferred treatment and partial retained physician ownership — tax-deferred strategies, and new development financing. Revenue is generated on a transaction-fee / advisory-fee basis, with pricing negotiated per engagement and no public pricing disclosure; complimentary valuations are used as a lead-generation tool.

The firm's go-to-market is sales-led and relationship-based, leveraging industry conferences (Becker's ASC, BOMA Medical Real Estate, PHA Leadership Summit), a monthly Healthcare Headlines newsletter, website content and case studies, and direct outreach. Leadership is composed of former institutional investment directors who served as transaction architects for REITs and healthcare real estate investment funds, including Managing Directors Christopher L. Stai (CPA) and Mike Spisak. HREA operates from three U.S. offices — San Diego (primary), Raleigh, and Denver — and reports cumulative transaction volume of more than $4 billion across 200+ closed deals spanning nearly every U.S. state. The firm is not a technology company: it has no software product, no API, no patents, no proprietary technology stack, and no AI/ML capabilities evidenced in the source data.

Name

Healthcare Real Estate Advisors

Legal name

Healthcare Real Estate Advisors

Website

https://healthcarerea.com

Company type

Private

Operating status

Operating

Headcount range

1–10 employees

Short description

Healthcare Real Estate Advisors (HREA) is a commercial healthcare real estate advisory firm representing physician practices, ambulatory surgery centers, and hospital systems in clinical real estate sales, sale-leaseback, tax-deferred transactions, and development financing across the United States.

Ownership category

akta.pro rank

Product category

Healthcare Real Estate Advisory

NAICS

Offices of Real Estate Agents and Brokers (531210), Other Activities Related to Real Estate (531390)

SIC

Real Estate Agents & Managers (For Others) (6531)

akta.pro primary industry

Healthcare & Medical Office Brokerage (BPAJABAF)

akta.pro secondary industries

Healthcare & Medical Office Tenant Representation (BPAJALAF), Healthcare & Senior Housing Real Estate Asset Management (BPAJAMAH)

Keywords

• Healthcare real estate advisory
• Medical office brokerage
• Sale-leaseback transactions
• Healthcare facility investment sales
• Healthcare REIT advisory

Headquarters

HQ city

Raleigh

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Marketing or Sales, Operations, Others

Revenue model

1. Advisory and Transaction Fees: HREA generates revenue through advisory and consulting fees associated with healthcare real estate transactions. Services include multi and single-tenant investment sales, sale-leaseback transactions, tax-deferred strategies, and new development financing. The firm structures transactions including Hybrid Sale-Leaseback arrangements that allow physician-owners to monetize real estate while retaining partial ownership on a tax-deferred basis.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

Healthcare Real Estate Advisors (HREA) is a specialized commercial healthcare real estate brokerage and advisory firm that represents owners of healthcare facilities in the sale of clinical real estate and originates capital for new development. Services include multi-tenant and single-tenant investment sales, sale-leaseback transactions, Hybrid Sale-Leaseback arrangements, tax-deferred strategies, and new development financing for assets such as medical office buildings, ambulatory surgery centers (ASCs), micro-hospitals, and specialty hospitals.

Product overview

Healthcare Real Estate Advisors (HREA) is a professional advisory firm that provides specialized healthcare real estate transaction services. The company operates as a single service offering—advisory and consulting services—rather than a software product platform. Their core service encompasses representing owners of healthcare facilities (physicians, practice groups, ASCs, and hospitals) in the sale of clinical real estate and originating capital for new development. Services include multi-tenant and single-tenant investment sales, sale-leaseback transactions, tax-deferred strategies, and new development financing.

Differentiator

Problem solved

Functional benefit

Products and services

• Healthcare Real Estate Advisory Services Specialized advisory and brokerage services for healthcare real estate transactions, including multi-tenant and single-tenant investment sales, sale-leaseback transactions, Hybrid Sale-Leaseback arrangements, tax-deferred monetization strategies, and new development financing. Targeted at owners of clinical real estate (physicians, practice groups, ASCs, and hospitals) and institutional investors in healthcare real estate.

Named customers6 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Eleven partnerships are on record, tiered core and minor.

• GI AlliancecoreChannel Partner/ Reseller/ DistributorGI Alliance is the largest independent gastroenterology practice in the U.S., supporting over 900 physicians across approximately 345 locations in 20 states. HREA has facilitated multiple transactions involving GI Alliance properties, including a 27,793 SF outpatient healthcare portfolio in Southlake, TX.
• Baylor Scott & White HealthcoreStrategic or Co-development PartnerThe largest not-for-profit health system in Texas with more than 50 hospitals and over 1,200 access points, holding an AA- rating from S&P. HREA has facilitated transactions involving facilities aligned with Baylor Scott & White, including a MOB two miles from Baylor Scott & White Medical Center - Grapevine.
• United Surgical Partners International (USPI)coreStrategic or Co-development PartnerA subsidiary of Tenet Healthcare, USPI operates the largest ambulatory surgery platform in the U.S. with more than 535 surgical facilities nationwide. Partners with health systems and physicians to deliver surgical care across broad specialties.
• Memorial Hermann Health SystemcoreStrategic or Co-development PartnerFitch AA- rated health system in the Houston metropolitan area. HREA has facilitated transactions involving Houston Physicians' Hospital, which is jointly owned with Memorial Hermann.
• Duke LifePoint HealthcarecoreStrategic or Co-development PartnerJoint venture between Duke Health and LifePoint Health, one of the nation's leading healthcare networks with more than 375 locations and 55,000+ employees. HREA facilitated the sale of Duke LifePoint HOPD in Bryson City, NC.
• LifePoint HealthcoreStrategic or Co-development PartnerPart of the Duke LifePoint joint venture, LifePoint Health operates healthcare facilities across multiple states. HREA has facilitated multiple transactions involving LifePoint-affiliated facilities.
• Duke HealthcoreStrategic or Co-development PartnerLeading academic health system and one of the largest providers in the North Carolina region. Partnered with LifePoint to form Duke LifePoint Healthcare. HREA has facilitated multiple transactions involving UNC Health and Duke LifePoint facilities.
• Eye Health AmericacoreStrategic or Co-development PartnerLed by experienced eye care industry leaders that partners with best-in-class eye care practices and ASCs. HREA facilitated sale of 7-property medical office and outpatient surgery center portfolio for Clemson Eye, a wholly owned subsidiary of Eye Health America.
• Becker’s HealthcareminorGTM or Marketing PartnerLeading healthcare industry media and conference organization. HREA regularly sponsors and exhibits at Becker's ASC conferences, and their insights are featured in Becker's content.
• Cardinal HealthminorOthersFortune 20 healthcare services company with over $150 billion in annual revenue. GI Alliance recently merged with Cardinal Health (NYSE: CAH), creating a significant healthcare services entity.
• Healthcare Real Estate REITs and Institutional InvestorscoreChannel Partner/ Reseller/ DistributorHREA maintains relationships with all major investment groups that acquire healthcare real estate, including REITs, institutional private equity, pension funds, family office funds, and private buyers. These relationships enable HREA to generate competitive offers for sellers.

Scale indicators3 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• JLL Healthcare Capital Markets: JLL's healthcare capital markets group provides investment sales, debt placement, and equity raises for medical office buildings, hospitals, and life science facilities. It is a direct competitor to HREA in healthcare real estate investment sales but operates as part of a much broader global commercial real estate platform.
• CBRE Healthcare: CBRE's healthcare real estate practice brokers MOBs, hospitals, and life science properties for institutional and private clients. It competes with HREA on investment sale transactions and sale-leaseback advisory, while offering a much wider suite of CRE services as the world's largest commercial real estate firm.
• Cushman & Wakefield Healthcare: Cushman & Wakefield's healthcare practice provides investment sales, valuation, and advisory for medical office buildings, hospitals, and life science facilities. It directly competes with HREA on healthcare investment sales transactions while operating as part of a broader global CRE platform.
• Newmark Healthcare: Newmark's healthcare capital markets group provides investment sales and debt advisory for medical office buildings, hospitals, and life science facilities. It competes with HREA in healthcare real estate investment sales, with similar transaction structures including sale-leaseback advisory.
• Colliers Healthcare Services: Colliers' healthcare real estate team provides investment sales, property management, and consulting for MOBs, hospitals, and specialty facilities. It competes with HREA on healthcare real estate investment sales while offering broader CRE advisory capabilities.

Direct peers

• Ponder & Co. Ponder & Co. is a healthcare-focused M&A and real estate advisory firm specializing in transactions for physician practices, ambulatory surgery centers, and healthcare real estate. It is a close comparable to HREA given its similar niche focus on healthcare transactions and physician-owned practice clients.
• Provident Healthcare Partners: Provident Healthcare Partners is a healthcare-exclusive M&A and strategic advisory firm representing physician practices and healthcare services companies. It is comparable to HREA as a healthcare-specialized advisory firm focused on transactions for healthcare provider clients.
• Anchor Health Properties: Anchor Health Properties is a healthcare-exclusive real estate firm providing investment sales, development, and property management for MOBs and healthcare facilities. It is comparable to HREA as a healthcare-specialized firm, though it offers broader services including property management.

Others

• Medical Properties Trust: Medical Properties Trust is a healthcare REIT that acquires acute care hospitals, inpatient rehabilitation facilities, and behavioral health facilities. It is comparable to HREA as a buyer counterparty in healthcare real estate transactions that HREA structures for its clients.
• Healthcare Realty Trust: Healthcare Realty Trust (formed from the Healthcare Trust of America / Healthcare Realty merger) is one of the largest US healthcare REITs focused on medical office buildings and outpatient facilities. It is comparable to HREA as a major institutional buyer of healthcare real estate that HREA engages in transactions.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/HealthcareREA
• LinkedInlinkedin.com/company/hrea-healthcare-real-estate-advisors

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 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 Healthcare Real Estate Advisors