Main Content
Development
We Build Because Our Clients
Need it Built
Clinical Development is assignment-driven. Every project begins with a committed physician, medical group, or health system — a tenant who needs the space before a shovel hits the ground. Pre-leased. Relationship first. Purpose-built for the medicine being practiced inside.
8–20%
YEAR 1 CASH-ON-CASH15–25yr
NNN LEASE TERMS$400M+
TEAM TRACK RECORD100%
PRE-LEASED AT STARTWHY ASSIGNMENT-DRIVEN
Assignment-Driven. Pre-Leased.
Built for Medicine.
LOWER RISK
Pre-leased before groundbreaking eliminates lease-up risk, vacancy periods, and design compromise. Lenders, investors, and co-investors all benefit from the reduced risk profile that assignment-driven development creates.
BETTER BUILDINGS
When the clinical tenant is involved from the design brief, the building works better — for patient flow, RVU per square foot, regulatory compliance, and operational efficiency. Purpose-built outperforms converted every time.
ALIGNED INCENTIVES
Our physician co-investment structure lets the clinical tenant own equity in the building they occupy. When physician, developer, and investor are aligned — the building performs better and holds its value longer.
PORTFOLIO SCALE
Three Ways We
Work With You
Whether you have a single facility need, a multi-site growth plan, or want to invest in the building you practice in — we have a structure for it.
ASSIGNMENT-DRIVEN
DEVELOPMENT
A physician group, hospital, or health system needs a facility. We take the full assignment — site selection, entitlements, design, construction, and delivery — as one integrated partner. No handoffs. Pre-leased NNN lease from day one.
- Full-cycle: site, entitlements, design, construction
- Long-term NNN lease structured before groundbreaking
- Same partner from assignment to certificate of occupancy
PROGRAMMATIC
DEVELOPMENT
For health systems and PE-backed groups with multi-site growth plans — a repeatable pipeline of pre-leased facilities across the Northeast. One partner, consistent execution, scalable across markets and property types.
- Multi-project pipeline with institutional tenancy
- Consistent execution across markets and property types
- TCG acquires the tenant relationship and the property
PHYSICIAN
CO-INVESTMENT
Physicians who occupy our facilities can invest equity in the assets they practice in. Tax-advantaged ownership, below-market lease economics locked at origination, and long-term appreciation aligned to clinical success.
- Below-market lease economics locked in at origination
- Tax-advantaged equity ownership structures
- Long-term appreciation tied to clinical performance
SIGNATURE OFFERING
You Treat Patients Here.
You Should Own the Building.
MEDICAL OFFICEBUILDINGS
AMBULATORYSERVICE CENTERS
IMAGING CENTERS
SINGLE TENANTFACILITIES
MICROHOSPITALSPHYSICIANCO - INVESTMENT
The Most Differentiated
Product in Medical Development.
No other development firm offers this structure. Physicians invest at the cap table level in the facilities they occupy — aligning clinical success with wealth creation in a way no other structure achieves. For institutional LPs, physician tenants are the most aligned occupier possible: one with professional and financial skin in the game.
- Below-market lease economics locked in at origination — occupying physicians pay less and own more
- Tax-advantaged equity structures designed specifically for physician investors
- Long-term appreciation tied to the building's clinical performance
- Expansion rights and specialty protections built into governing documents
- 1031-eligible ownership structures available for qualifying investors
- For LPs: physician co-investors are the most aligned tenant possible — skin in the game
FACILITY TYPES WHAT We BUILD
Medical Office Buildings
Ground-up and adaptive reuse MOBs — multi-tenant and single-tenant, NNN from day one.
Imaging & Specialty Facilities
Imaging centers, diagnostic facilities, and single-tenant clinical buildings for specific service lines.
Adaptive Reuse
Converting industrial, retail, and office properties into high-performing medical space — faster to market, strong upside.
Ambulatory Surgery Centers
Physician and health system anchored ASCs — the highest-value outpatient asset in medical RE.
OUR PROCESS
From Assignment to
Certificate of Occupancy
Whether you have a single facility need, a multi-site growth plan, or want to invest in the building you practice in — we have a structure for it.
01 Clinical Assignment
A physician, group, or health system brings us a need — or we identify an off-market opportunity aligned to a tenant in our advisory network. The clinical mission defines the project before capital is deployed.
02 Site Selection & Feasibility
Demographic and competitive analysis, entitlement assessment, certificate of need review, and deal structuring — SPE, JV, or programmatic partnership — all before committing capital.
03 Design, Construction & Delivery
End-to-end project management as owner's rep: design-build coordination, cost control, regulatory navigation (DOB, DOH, CON), and timeline management to certificate of occupancy.
04 NNN Lease Execution & Stabilization
Every project is structured with a 15–25 year NNN lease with investment-grade or high-credit medical tenants. Physician co-investment is offered at this stage for qualifying tenants.
05 Asset Management or Disposition
Managed through the Clinical Investment platform, or positioned for institutional disposition — targeting REITs, healthcare PE, and 1031 exchange investors at stabilization.
Have a Site or
a Clinical Need?
Our process starts with the assignment, not the architecture. Bring us a site, a clinical need, or an institutional development pipeline — and we'll show you how we work.