Healthcare Facilities Real Estate
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Healthcare Real Estate is Unique

Healthcare real estate has evolved into an asset class of its own.  Real estate professionals in the healthcare industry face unique issues, including complex federal and state regulatory schemes; the symbiotic nature of hospital campuses; functionality considerations; and unique design specifications.  The Winstead Healthcare Facilities Real Estate Practice understands these complexities and has been at the forefront of crafting innovative solutions for its clients in the healthcare industry.

Our Healthcare Facilities Real Estate Practice

Whether working with hospitals, physician groups, third party developers, lenders or investors, Winstead attorneys bring a distinctive blend of real estate excellence and healthcare industry acumen to each project they encounter.  Our healthcare real estate clients include for-profit, non-profit and public hospitals, physician groups, developers, operators, investors, and lenders of every type of medical facility along the healthcare continuum of care, including medical office buildings, ambulatory surgery centers, specialty hospitals, acute care hospitals, LTACHS, and rehabilitation hospitals.  Our Healthcare Facilities Real Estate Practice is also active in the representation of assisted living facilities, skilled nursing facilities, continuing care retirement communities and senior living facilities.

Real Estate Experience Matters

We know real estate.  Our Healthcare Real Estate Practice consists of attorneys whose principal focus is real estate.  Winstead's real estate practice is one of the leading real estate practices in the U.S., representing clients in all aspects and types of real estate transactions, including:

  • Acquisition
  • Disposition
  • Development
  • Partnerships and strategic joint ventures
  • Zoning, land use and economic development
  • Construction
  • Financing
  • Loan restructuring
  • Mixed-use projects
  • Medical office condominiums
  • Leasing
  • Property management
  • Environmental
  • Title litigation
  • Resolution of real estate disputes


  • Representation of one of the nation's largest non-profit hospital systems in a monetization transaction involving the sale of a 20 medical office building portfolio totaling over 1 million square feet
  • Representation of a large non-profit hospital system in connection with a physician alignment and monetization strategy involving the proposed sale of more than 20 medical office buildings to a partnership consisting of the system, a real estate investment company and staff physicians
  • Representation of non-profit hospital systems in the development of hospitals, medical office buildings and specialty buildings on hospital campuses, including through ground leases with third-party developers
  • Representation of developers in partnerships and strategic joint ventures with physician groups and hospital systems
  • Representation of developers in connection with the development of rehabilitation hospital LTACHs in Houston, Texas
  • Representation as issuer's counsel in bond financing transactions for hospital facilities
  • Representation of hospital systems in the negotiation of space leases with third-party medical office building owners in single-tenant and multi-tenant facilities
  • Representation of developers in the development of medical office buildings, ambulatory surgery centers and other health care facilities
  • Representation of developers in the development of medical office buildings and ambulatory surgery centers
  • Representation of hospital operators in the development of multiple long-term acute care hospitals throughout the U.S.
  • Representation of hospital systems in the development of master plans
  • Representation of a North Texas county hospital district in the construction program for a replacement hospital, including negotiation and preparation of construction contracts
  • Representation of a publicly traded senior living community operator in the development of independent and assisted living communities and condominiums with special senior services
  • Representation of a developer of assisted living facilities, nursing homes and senior living facilities in build-to-suit lease transactions with operators throughout the country
  • Representation of physician groups in development and capitalization of healthcare facilities, including private placement and financing transactions
  • Representation of a skilled nursing facility developer and operator in HUD financings
  • Representation of two life insurance companies as co-holders of $100 million in notes secured by senior living facilities in Alabama, Arizona, California, Colorado, North Carolina, Tennessee, Texas, Oregon and Washington
  • Representation of an insurance and financial services company in 20 loans in both its portfolio program and its securitization program including medical office facilities throughout the country