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De Novo

We help healthcare tenants identify ideal locations and secure favorable lease terms when opening de novo offices or clinics.

Opening De Novo Locations

Healthcare practices and business seeking to scale their operations will often look to additional offices within a metro or region to provide consistent care to a greater population, while increasing profitability and value to their business.

There are key considerations to keep in mind when contemplating additional offices for your healthcare business:

  • Ensuring a consistent environment and patient experience among multiple locations

  • Determining where additional offices should be located to provide the most impact to patients, and to the business itself.

  • Ensuring the economic feasibility and longevity

  • Negotiating the best possible terms, concessions and options (both economic and non-monetary) to provide flexibility and optionality when scaling.

We customize a real estate strategy to ensure your healthcare business or practice sees the entire market, understands all potential options and alternatives, fully-leverages your tenancy in the market and achieves the best possible economic terms at your additional locations.

Franchise Healthcare

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Franchise Healthcare Operators have several key considerations to make when expanding their physical footprints. Patients are extremely perceptive, and maintaining a consistent atmosphere across multiple locations is critical for a healthcare businesses’ client population.

We know this, and help our clients identify optimal locations to give their patients convenient options and consistency of care, quality and experience.

New locations must:

  • Adhere to brand and quality standards

  • Provide patients and staff with consistency

  • Be thoughtfully located so as not to overlap and compete with one another

  • Maintain as much flexibility as possible if the location needs to be closed

  • Have carefully negotiated lease terms

We have extensive experience helping healthcare franchises manage and grow their operations intelligently by streamlining processes, developing playbooks and not simply “stamping them out.”

Playbook for Success

A laptop screen displaying a presentation titled 'De Novo Playbook, July 2025,' with logos for JHRE, and an image of a modern medical facility interior with chairs, lights, and a reception area.

We help you develop a playbook for success when opening De Novo clinics, helping streamline the process and ensure that your brand, patient experience, staff and vendor coordination are consistent across all facilities, both existing and new.

  • Market Criteria

  • Property requirements

  • Population & demographic thresholds

  • Programming and ideal floorplans for new clinics

  • Build and finish-out requirements

  • FF&E, IT and other national vendor partners.

  • and more…

Have Multiple Locations?

Let us show you how we can help you streamline your real estate processes, standardize your portfolio operations and reduce your real estate costs across your entire real estate footprint.

Frequently Asked Questions about Commercial & Healthcare Real Estate

Want to Know More?

Check out some Frequently Asked Questions about Commercial Real Estate, and review our Glossary of Common Commercial Real Estate Terminology.

Let’s Work Together

We’d love to serve you and your healthcare business.