
About the Service
Health systems face constrained capital, competitive markets, and shifting reimbursement. Strategy, capital, and transaction advisory from Medical Construction Group builds a clear, data backed path from vision to activation, what to build, where, when, and how to fund it.
We translate service line growth targets into a prioritized portfolio, site plans, delivery models, pro formas, and risk adjusted schedules. Our team coordinates legal, finance, and brokerage partners while we remain the owner’s representative safeguarding scope, cost, schedule, and compliance.
From board ready business cases to transaction close, we integrate underwriting, MEP and life safety inputs, procurement strategy, and AHJ pathways. Decisions are made with decision ready dashboards so leadership can commit capital with confidence and speed.
Why choose us
Engage early to align strategy, capital, and deals with clinical growth.
Medical Expertise
Healthcare only advisors linking service lines, patient access, and activation to capital choices.
Disciplined Delivery
Phase gates tie feasibility, funding, schedule, risk, and compliance to executive approvals.
Proven Excellence
Integrated workflows bring design, MEP, life safety, and market data into each transaction.
Asset Mastery
Clinics, ASCs, imaging, MOBs, small hospitals, and multi site rollouts across diverse markets.
Services offered
Project team assembly and early planning
- Portfolio Strategy and Prioritization, rank projects by ROI, access, and risk, phase for capital capacity
- Capital Planning and Pro Formas, build multi year capital plans, funding mixes, and bankable project pro forma
- Transaction Structuring and Negotiation, structure leases, purchases, and sales, align terms to scope and timelines
- Feasibility, Due Diligence and Entitlements, validate codes, utilities, costs, and AHJ paths before committing capital
Popular questions
How do we choose which projects to fund first?
We score ROI, access, risk, and schedule. Phasing aligns projects to capital capacity.
Can you help compare lease versus buy versus develop?
Yes. NPV, risk, speed, control, and flexibility are modeled with sensitivity scenarios.
How do you de risk transactions before close?
Early MEP, life safety, and code reviews inform LOI or PSA terms and contingencies.
What deliverables go to our board or lenders?
Business case, pro forma, schedule, risk register, and procurement plan with clear gates.
Will advisory decisions translate into execution?
Yes. Owner’s representation connects strategy to field ready design and construction.
Yes. Owner’s representation connects strategy to field ready design and construction.
Often 60 to 120 days, driven by diligence, approvals, and negotiated terms.
