Healthcare Real Estate Hack: Smarter Leases for Maximum Savings & Flexibility 

The healthcare industry is experiencing a fundamental transformation in how and where care is delivered. As a real estate expert specializing in lease restructuring, I’ve witnessed healthcare providers grappling with evolving care models, from the rise of outpatient services and personalized care to the expansion of telemedicine. These changes, coupled with workforce shortages and mounting financial pressures, demand a strategic reimagining of healthcare real estate portfolios. 

Technology is accelerating this transformation. The integration of artificial intelligence, telemedicine platforms, and wearable health devices is revolutionizing patient care, often reducing the need for extensive physical spaces while enabling more efficient services. Meanwhile, rising healthcare costs are intensifying the focus on expense management, making real estate optimization crucial for financial sustainability. 

To remain competitive in this evolving landscape, healthcare providers must take action. Strategic lease restructuring, facility consolidation, and thoughtful community-based leasing decisions can enhance operational flexibility while reducing costs. The growing influence of private equity in physician practice management is driving mergers and acquisitions, adding another layer of complexity to real estate decisions. 

Healthcare organizations that proactively adapt their real estate strategies will be better positioned to weather these industry shifts. By taking these steps, providers can enhance flexibility, reduce their expenses, and future-proof their real estate portfolios. 

Why Healthcare Providers Must Rethink Their Real Estate Strategies 

The Rise of Telemedicine and Remote Care 

Telemedicine reduces the need for large physical spaces. Providers must rethink their real estate footprint by downsizing or repurposing facilities to balance in-person and virtual care effectively. 

Big Shift Toward Outpatient and Ambulatory Care  

Providers are prioritizing smaller, strategically located facilities over large hospital campuses. Outpatient and ambulatory care settings reduce operational costs while improving patient access. 

Managing Rising Operational Costs 

Inflation, higher prescription drug prices, and an increasing prevalence of chronic diseases drive up healthcare costs. To stay financially sustainable, providers must optimize real estate expenditures, negotiate better lease terms, and consolidate locations. 

Designing Flexible Spaces 

Medical technology evolves rapidly, requiring adaptable spaces. Providers should prioritize modular designs that allow for quick reconfigurations based on new technologies and service lines.   

Best Practices for Lease Restructuring in Healthcare 

  1. Show Proof of Financial Struggles:

    Be prepared to share clear data that demonstrates why rent relief is necessary. Use financial reports to show how your company is struggling and why help is needed. 
  1. Use Space Wisely:

    Take a close look at your locations. Are some too close to each other, pulling patients from one another? Are competitors moving in nearby? If so, it may be time to rethink your space needs. 
  1. Consider a Revenue-Sharing Lease:

    Instead of paying a fixed rent, explore an agreement where rent is based on a percentage of revenue. This can help reduce costs when business is slow and make landlords feel invested in your success. 
  1. Show a Solid Recovery Plan:

    Tell your landlord that you’re working on a company-wide plan to turn things around. Show them it’s not just about their property—you’re taking action across the board. This makes them more likely to support your request. 

Healthcare providers must rethink their real estate strategies to remain competitive and financially stable. By implementing best practices such as shorter lease terms, space optimization, rent relief strategies, and strategic location shifts, providers can reduce costs and enhance flexibility. The future of healthcare real estate depends on adaptability, and proactive lease restructuring is the key to long-term success. 

Contact Keen-Summit at (646) 381-9222 to set up a time to discuss your needs.