Our Approach v2

Healthcare Property Advisors

Our Approach


with a network of 20 health systems across 29 states

$6 Billion

in medical construction on and offsite hospital campuses

Healthcare Property Advisors is majority-owned by multiple health systems across the United States.  This unique structure, through The Innovation Institute model, provides HPA with a unique competitive advantage and the ability to quickly scale revenues and monetize assets as member systems redirect their real estate services. HPA also continues to grow non-member system revenues while enjoying solid customer diversification.

Unique Asset Class: Medical Properties On or Adjacent to Campuses

We create value through acquiring, managing, improving and developing medical office buildings and outpatient facilities.  Every acquired building houses mission-critical clinical programs and is a strategic asset to the related hospital.

Our strong reputation and market position have been built by long-standing relationships in the industry and proven success in the medical market segment with prominent health systems. We create asset-class investments in a recession-resistant category, providing steady long-term cash flow, rent stability and predictable occupancy patterns.

Perpetually Growing through Innovation

The Innovation Institute is a perpetual company co-owned by multiple health systems.  As member health systems grow and change, their needs for physical space evolve, driving organic growth.

Our Advisory Board represents a diverse group of industry experts and equity partners who provide experience and sound judgment to the management team.  Our interests are closely aligned with our partners; the firm’s executives hold equity in the company and are invested in its success.

The management team is highly experienced in all aspects of operating, managing and acquiring medical and commercial properties.  As a HPA owner, James McGrade is recognized for his relationships and strategic partnerships with physicians, medical institutions and hospital systems.

Operating Advantages

HPA enjoys exclusive access to owner health systems and hospitals and extensive relationships with owners, lenders and intermediaries.

Our dedicated and experienced asset management team provide national reach and market knowledge.

Our positive position allows us a unique ability to move with scale and speed in our expansion and acquisitions.

Integrally connected with current healthcare environment opportunities

With the transition to population health management and the trend from acute care to ambulatory care, the market demand for medical property management, brokerage and development is growing rapidly.

Sellers are often distressed by ownership structures which are impaired by excessive leverage, or by public companies seeking to exit in scale. Limited availability of debt and equity capital results in substantially less competition. Without exclusive access to owners, new supply in on-campus medical real estate remains at near-record lows.

With constrained capital and shrinking reimbursement, hospitals are increasingly seeking ways to monetize non-core assets and fund building acquisitions and improvements. Economic fundamentals have begun to stabilize and improve.