Healthcare & Medical Real Estate

Why are more doctors choosing health system employment, despite limited earning potential?

No other industry has seen the field of battle change so quickly.

There is no quarter of safety—the regulatory environment is perilous, reimbursements are retreating all while patients expect more. Technology has grown to a point that rolling out new software can cost more than a 100-bed facility and consolidation means that we’re constantly reinventing solutions to previously settled problems.

But with turmoil comes opportunity.

In 2015, Dr. David B. Nash, dean of the Jefferson College of Population Health, said at the American College of Healthcare Executives’ Congress on Healthcare Leadership.

“The most important number I need to predict your health status and well-being is your ZIP code, bar none.”

MEDICAL & HEALTHCARE LOCATION STILL MATTERS.

But flexibility, affordability, and translating strategy efficiently into a physical place that the market supports is important, too.

Providing your system with reliable, empirical and succinct information is how we empower our Healthcare Clients to make the best Atlanta Healthcare or Medical real estate decision possible.

Lease Satisfaction Scores Tougher than CMS’

November 21, 2016

How FASB and debt markets will grade healthcare organizations’…

More Doctors Signing Fewer Checks

July 18, 2016

Georgia gains on shifts in physician employment models Inelasticity…

The Regulator: The State of Healthcare in Georgia

May 16, 2016

On March 18, 2016, the Georgia Association of Healthcare Executives…

Dental Real Estate

What is the single biggest opportunity in dentistry today?

After staff costs, your real estate expenses will be the largest line item on your budget—and you get one chance to make the best decision possible.

So what if you knew that someone had been working for over 12 years—preparing and gathering resources—to ensure that you would make the best decision possible?

Since 2001, our President has been doing just that in hundreds of Atlanta dental real estate transactions representing dentists.

Whether you are opening your first Atlanta dental practice or fiftieth, the stable of resources DTSpade brings to bear in your transaction is unparalleled. Our team provides the following:

Built-Out Dental Reports

We track space marked for sale or lease that is plumbed for dental. With 50-100 properties in a typical market, this report alone can save hundreds of thousands on a buildout.

Substantive Demographics

Show revenues from area dental offices and household dental spending for any geographic area. Using expensive proprietary data and analysis, you will have empirical evidence to support what is often a gut decision.

Financial Modeling

Normalizes the costs of leased real estate to give you a full understanding of the costs. These are the numbers you wanted from your accountant, but they were unable to provide. With this model, we empower Clients to make a quick and rational decision.

Dentistry From One to Five Offices: Part 1 - Why?

November 21, 2016

Part 1: Why would anyone want five dental practices? November…

OPPORTUNITIES IN DENTISTRY - WHAT IS THE SINGLE BIGGEST OPPORTUNITY IN DENTISTRY TODAY?

August 25, 2016

The healthcare industry exhibits high profitability, and dentistry…

OPPORTUNITIES IN DENTISTRY - What is the best advice you've ever given or been given?

June 27, 2016

If you own a dental practice, you’re both a leader and a decision-maker.…

Government

Is your institution fully accountable to its citizens? What is the true cost of your lease obligations?

How excellent can any of us be at activities that are not core competencies?

Governments can be excellent at governing, but have to rely on others—others who have put in the time and practice to achieve excellence—for non-core functions.

This reality can leave jurisdictions unarmed in combat when it comes to negotiating and selecting real estate. Politics change. Laws are complex. Governmentsare further hindered by well-meaning regulations that result in a higher cost for its citizens. On top of that, Landlords have sixty ways to cut you and you’ll never even know you were bleeding.

As your real estate advocate, our role is to analyze your specialized requirements and property, identify a thorough plan of action, and implement that plan to ensure your objectives are not just met, but EXCEEDED.

DTSpade’s value is in our high level of leadership commitment in maintaining real property data, personal accountability and an ability to streamline the market driven negotiation process.

DTSpade represents you BETTER because our team has spent years developing and practicing:

Understanding – Through work with Grady Health System, the Fulton DeKalb Hospital Authority, the City of Atlanta, Atlanta Public Schools & the Atlanta Housing Authority, our team has honed processes for quantifying, evaluating and executing on governmental real estate assets and needs. DTSpade has earned a reputation for superior performance in our ability to understand the nuances of governmental real estate, and we offer a thorough knowledge of both current and planned processes and procedures.

Patience – Patience is a virtue, and one we can help facilitate through leadership, persistence and coordination of efforts, all while keeping all parties at the table. We know how to set and manage expectations between the market and government entities throughout a processes that often takes time. By maintaining stamina throughout the process, we ensure our Clients realize the light at the end of the tunnel.

Research & Analysis

We assist in competitive property research and analysis, and provide real time, up-to-date and accurate information regarding government actions to enable our Clients to make the most advantageous business decisions.

Accountability

As one of our core business values, we offer no exceptions to our accountability. We have process-driven systems in place to ensure accountability from inception to final close.

Representation

Only with the benefit of a tenant representation broker can you be guaranteed exposure to every opportunity and the negotiating power to secure the best terms available on your lease renewal or renegotiation.

Public Works Can’t Clean up this Mess

November 21, 2016

How the leases you sign may affect bond ratings FASB and…

Who’s got a better multiple than Waze? Your Own City.

September 1, 2016

Technology, implementation of that technology and viable…

Human Resource Planning for the Unplanned - How North Carolina Has Prepared for the Next Generation of Government

May 27, 2016

Best of Series - Part 1 Baby Boomers are reaching the age…

Pre+Equity

Do you have an equity transaction in your future? What is the easiest way to reduce OpEx & boost valuations?

In the race to close a transaction, commercial real estate can become just another detail.

But it’s more than a detail. Leasehold interest in real estate can be the center of a company, a strategy for the transaction or one piece of a larger plan. And in haste, companies seeking equity make poor choices that affect value, or private equity firms relegate the task to the settlement counsel.

DTSpade has created a business unit around preparing for equity infusions. Whether real property is owned or leased, DTSpade helps:

companies seeking equity investment plan for the event by managing the transaction through the lens of a private equity firm, and
private equity firms to manage the leasehold assignment process cheaper, better and faster than traditional players.

DTSpade represents you BETTER because we are:

skilled in these transactions. Our job is negotiating lease deal terms with Landlords throughout the United States. We’ve counseled owners whose businesses are not saleable because of forward obligation lease terms and negotiated assignments with Landlords who have no incentive to do so.
focused on managing the schedule. It’s a learning curve to explain to a typical broker that the schedule is paramount. Real estate brokers are accustomed to driving schedule, negotiating terms, and managing the process. For any schedule, we can communicate to stakeholders gettable concessions on a given timetable.
prepared for even the most demanding assignments. In living our commitment to build a business around helping Clients make one decision excellently, we are staffed with licensed real estate brokers to reallocate resources for even the largest assignments.

DTSpade works FASTER because we have practiced these transactions for years. Equity transactions in which our Partners have been involved include:

Nanston Dental transaction to Great Expressions (17 locations in Georgia)
Tenet Healthcare Atlanta asset transaction to WellStar Health System (4 hospitals + 15 locations in Atlanta)
Southern Dental transaction to Tralongo Management (11 locations in Texas)

DTSpade completes this work CHEAPER because we can access brokerage commissions from new leases to offset costs of assignments in other locations. Oftentimes, work that would have been charged to the transaction can be completed at no additional cost by accessing these fees.

Mattress Firm Closes Stores

October 29, 2018

How Will Trump’s Tariffs on China Impact Commercial Real Estate?

September 25, 2018

Earlier this summer, President Donald Trump approved tariffs…

No More Leases in the Junk Drawer

November 21, 2016

How FASB has changed lease accounting and performance bonuses…

Commercial Real Estate Services

Let us help you find your place with the following services:

Leasing

Acquisition

Dispositions

Broker Opinion of Value

Lease Administration

Data Mapping Platform

Our Client Advocacy Promise

Our focus is on providing outstanding customer service to you, the Client. We know how to navigate the legal roadmaps of the public and private sectors and we secure solutions to problems along the way, ensuring you receive the best results possible. At DTSpade, our primary goal is protecting the business interests of our Clients, and it always will be.