For operators growing their footprint, BHTA helps work through where and how to expand:
For operators growing their footprint, BHTA helps work through where and how to expand:
Congratulations — your business is growing, and it's time to think through where and how you expand. A few questions worth working through together:
Whether you're expanding, right-sizing, monetizing owned real estate, or simply need a valuation, here's where to start.
Congratulations — your business is growing, and it's time to think through where and how you expand. A few questions worth working through together:
Where do I want to expand? If you're still narrowing down the right market, I can refer you to regional or national behavioral health consultants who specialize in market selection. Once you've identified your target market(s), come back to me to talk through the challenges of entering it.
I know exactly where I want to go and have the capital to move fast. Let's build a game plan for a multi-market acquisition.
I've already underwritten a specific market — competition, staffing, payor rates — and I know where I want to be. Let's talk about how to execute.
Generally, the higher the acuity, the more difficult the zoning — historically the single biggest barrier to entry for inpatient psychiatric or residential treatment. I've been navigating this exact issue since 2008. Lower-acuity models (PHP/IOP/MAT/outpatient/sober living) still carry zoning considerations worth discussing.
Placing a newly licensed use into a building with a different prior use typically requires upgrades. I can connect you with architectural and construction contractor referrals.
If you're scaling now but plan to eventually sell, it's worth weighing buying vs. leasing the real estate. Capital spent growing the business often returns more than capital spent owning real estate — if growth capital is tight and the business is profitable, leasing can be the better option.
If you own the real estate when you're ready to sell the business, you have more flexibility in how the sale is structured. Ask me how.
Can I lease it instead of selling? Either to a competitor, or to a non-competing occupant.
Selling the real estate while the business infrastructure is still in place is generally worth more than selling after the business has shut down — let's talk through what that looks like for your situation.
We can market this confidentially, as a public listing, or a hybrid of both — ask me about the tradeoffs.
I can walk you through what the real estate investment market is currently looking for in sale-leaseback transactions.
Lease terms and obligations can be structured differently depending on your goals and risk tolerance — let's discuss what fits.
We can market this confidentially or via public listing — ask me about the pros and cons of each.
Formal appraisal: I'm not a credentialed appraiser myself, but I work with several healthcare real estate appraisers who specialize in behavioral health properties — ask for a referral if you need one for a bank refinance or other purpose.
Broker Opinion of Value (BOV): A more streamlined valuation I can prepare as part of an engagement to sell or lease your property. Priced similarly to a formal appraisal — but if you engage me to sell the property, that cost is credited back to you.
Whether you're expanding, right-sizing, monetizing owned real estate, or simply need a valuation, here's where to start.
Congratulations — your business is growing, and it's time to think through where and how you expand. A few questions worth working through together:
Also worth confirming as part of Inherent Challenges: do you know if your state is a Certificate of Need state, and whether your level of acuity will require state CON approval? We should figure this out first — it directly affects timeline and site selection.
We help investors and operators identify, evaluate, and acquire behavioral health real estate that fits their strategy, from single-facility purchases to multi-site portfolio acquisitions.
We represent owners of behavioral health real estate through the full sale process: positioning, marketing to a qualified buyer pool, and negotiating to close. Our engagements typically fall into one of the following categories:
Independent, sector-specific valuation guidance for behavioral health real estate — site feasibility, market positioning, zoning and conversion potential, and objective insight for owners and investors making a decision.
We structure sale-leaseback transactions for behavioral health operators — unlocking the equity in owned real estate while allowing continued operation of the facility under a long-term lease. This strategy is well suited to operators looking to redeploy capital into growth while retaining full operational control of their sites.