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Due Diligence

We help healthcare providers and businesses navigate commercial real estate markets and achieve successful outcomes.

Specialization Matters

JHREwas established under a simple, rigid directive: to help healthcare providers and practices navigate the complexities of real estate transactions and help their businesses thrive.

We are healthcare real estate experts, and we direct all our effort toward helping healthcare businesses make sound, informed decisions.

Real estate is often the second-highest expense a practice will incur, and has a meaningful and lasting effect on providers, employees, patients and families.

Our vision for partnering with healthcare providers includes a due-diligence process that is second-to-none, and tailored specifically for the healthcare industry. That’s something 99% of other brokers cannot say.

With JHRE you see the entire market (not just the buildings we lease…because we don’t represent landlords) from every angle, backed with data, analytics, intelligence and insights to fully leverage your deal in the market and achieve the most favorable terms possible.

You’re healthcare specialists.

Your broker should be too.

Proven Process

Healthcare-Specific Real Estate Strategies Tailored to Each Requirement

Cover page of a report titled 'De Novo Playbook' dated July 2025, with a logo of JHRE. The background features a modern medical or hospital reception area with neutral tones, chairs, and ceiling lighting.
  • Patient Profile

    Define Geography

    Premises Footprint

    Renew vs. Relocate

    Lease vs. Purchase

    Needs, Wants & Desires

Laptop screen displaying a project timeline chart with tasks over seven months, including market overview, site visits, proposal, space planning, lease negotiation, construction, and final move-in.
  • Market Strategy

    Timeline & Critical Dates

    Target Commencement Date

    Execution Window

    Build-Out Timeframe

Laptop screen displaying a heatmap titled 'Healthcare Density' showing the location of healthcare providers in Houston, Texas, with various regions highlighted in colors from blue to red.
  • Market Trends & K.P.I’s

    Healthcare Density

    Healthcare Consumer Spending

    Competitive Landscape

    Drivetime Analysis

    Referral Source Mapping

    Availability Report

    Detailed Property Information

Laptop screen displaying real estate listing for a medical property and details such as property type, class, year built, available space, asking rental rate, estimated operating expenses, and structure, along with a photo of the building.
  • A critical step to identifying the most suitable options and building leverage in the market. We physically tour your top properties to see beyond just the Landlord’s marketing package.

A laptop displaying a document from JHRE regarding a lease proposal, with sections on landlord, tenant, premises, lease term, and rent details.
  • We create customized Requests for Proposal specifically for your requirement which fully-addressed all salient business points and allows for apples-to-apples comparison of competing properties.

Laptop screen displaying a landlord proposal matrix for Vandelay Industries with details of four buildings, including images, addresses, landlord information, premises size, possession date, lease term, base rent, and other financial terms.
  • We distill all elements of Landlord Proposals into a side-by-side matrix, providing direct comparison of all business terms, showing Landlord soft targets, and allowing for progress tracking from first proposal to best-and-final.

Laptop screen displaying an apartment rental analysis spreadsheet with details such as address, square footage, base rate, operating expenses, gross rate, and total rent consideration.
  • We prepare detailed financial analyses showing the precise occupancy cost of each option, and breaking down monthly rental, operating expense and utility projections.

    • T.I. Cost Guides

    • Market Updates

    • Document Repository

    • Contact Management

    • Market Updates

    • Option Negotiation

    • Critical Dates Management

    • and more…

Significant Impact

SAVE TIME

The average medical real estate transaction requires dozens of dedicated hours identifying, negotiating, designing and constructing or renovating space, taking physicians away from patient care and interrupting business.  

​Additionally, many medical providers lack key market knowledge and data, reducing their leverage and options and giving the landlord a substantial advantage in negotiation.

SAVE MONEY

Real estate costs are often the 2nd highest expense for a medical practice. Your lease or purchase represents a substantial financial commitment and, often, a home to your business for a decade or longer. 

​Our process saves practices money by lowering real estate costs and maximizing lease concessions. ​

How much could we save your practice? Over the life of a lease and its renewals, hundreds of thousands of dollars or more.

PEACE OF MIND

We represent, protect and assist healthcare tenants navigating the complexities of commercial real estate negotiations.

By avoiding costly mistakes, complications, and delays that could burden a practice for years if they took a D.I.Y. approach to their real estate, we provide healthcare tenants peace of mind by ensuring they've explored the entire market, fully leveraged their tenancy, secured the best possible economic terms, and received a thoroughly negotiated and fair contract.

Building Leverage in Negotiation

KNOW YOUR TIMELINE

Timing plays a critical role in lease negotiations. Initiating discussions well before the lease expiration date—typically 12 to 18 months in advance—gives healthcare practices the opportunity to explore their options, including alternative spaces. This creates a sense of competition among landlords and signals that the practice is prepared to relocate if necessary.

Proactively engaging in negotiations allows practices to:

  • Evaluate current market conditions and benchmark rental rates.

  • Identify potential areas for improvement in the lease terms.

  • Align lease expiration with strategic growth goals, such as expanding services or adding locations.

KNOW YOUR VALUE

Healthcare practices hold unique value in the commercial real estate market. Unlike traditional office or retail tenants, healthcare providers typically bring stable, long-term revenue and high patient traffic to a property. This makes them highly desirable tenants for landlords seeking reliable occupancy.

Additionally, the cost of leasing a vacant space is not one landlords take lightly. Downtime means lost rent, marketing and legal expenses, refurbishment or restoration, lost revenue from ancillary streams like parking, etc.

Landlords, though, would prefer you didn’t know that. They and their leasing agents want you to underestimate your value in the market and give them the upper hand in negotiating.

KNOW YOUR OPTIONS

Real Estate markets are extremely competitive, yet healthcare tenants often drastically underestimate just how fierce the competition between landlords really is. Just because your Landlord sends you a renewal offer, doesn’t mean you have to take it.

They’re hoping you don’t look at other options!

Building leverage in negotiations means being informed of all of your available options, and understanding what other buildings are willing to give to lure you away from your current address.

By thoroughly evaluating the market and receiving offers from competing buildings, healthcare practices can dramatically level the playing field in real estate negotiations.

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.