Healthcare real estate has never been more complex or more consequential. Health systems and physician practices are navigating a landscape shaped by consumerization, consolidation, and the continued migration of care to outpatient and community-based settings. Patients today are informed consumers who expect convenient access, and that expectation is fundamentally reshaping where and how healthcare is delivered. The rise of value-based care, the expansion of ambulatory networks, and the ongoing wave of health system mergers are all forcing occupiers to make real estate decisions that are faster, more strategic, and higher stakes than ever before.

We understand this environment because we work in it every day. As healthcare real estate specialists, we see the market dynamics, the regulatory pressures, and the operational realities that drive smart real estate decisions for healthcare occupiers and investors alike. We identify opportunities where others see complexity, and we translate that into real estate strategies that support your clinical mission and your financial objectives.

Whether you are expanding an ambulatory network, evaluating a new market, or renegotiating an existing portfolio, we bring the expertise to help you move with confidence.

Healthcare Real Estate Advisor Houston | Tenant Representation for Health Systems & Physicians

If you are looking for a healthcare real estate advisor in Houston who represents occupiers—health systems, physician groups, and outpatient operators—not landlords, that is the work I do. I am Coy Davidson, Senior Vice President at Colliers and The Tenant Advisor, focused on medical office and healthcare real estate strategy, site selection, and lease negotiation across Greater Houston and nationally.

Healthcare real estate is not a general office with a medical label on it. Clinical use, parking, after-hours operations, HIPAA-sensitive access, anti-kickback considerations, and build-outs that routinely run well above standard office costs change both the space you need and the lease you can afford to sign wrong.

Who this is for

• Health systems expanding ambulatory and MOB footprints
• Independent physicians and specialty groups leasing or renewing clinical space
• Imaging, ASC, urgent care, and outpatient operators choosing sites
• Occupiers evaluating buy vs lease, sale-leaseback, or portfolio moves

If you need agency leasing for a landlord portfolio, that is a different specialty. My practice is built around representing the tenant and buyer.

How I advise healthcare occupiers

Site selection that matches the care model

Location is a clinical and access decision, not only a rent decision. We start with the care model, referral patterns, patient drive times, and operational constraints before we tour buildings.

Lease strategy built for medical use

Medical office leases commonly run longer than general office deals because build-outs are expensive. That longer commitment should buy better economics and stronger protections—not a landlord-friendly form with clinical risk left unaddressed. I have written a full breakdown of the nuances of leasing medical office space, including parking benchmarks, TI realities, and the clauses that most often trip providers.

Negotiation and total occupancy cost

Base rent is one line. Operating expenses, TI shortfalls, parking, after-hours HVAC, and end-of-term restoration can redefine the deal. We model total occupancy cost and create competition among landlords whenever the timeline allows.

Portfolio and transaction support

Beyond a single suite: acquisition and disposition support, surplus property strategy, and multi-site planning when a system is optimizing acute vs ambulatory assets. See also hospital portfolio optimization in healthcare real estate.

I have more than thirty years in commercial real estate, joined Colliers in June 2000, and serve as a senior member of the Colliers National Healthcare Service Group. My practice spans office and healthcare occupiers in Houston and across U.S. markets.

Why providers hire a tenant-side advisor

Landlords and listing teams negotiate healthcare leases every day. Most physician practices and many health-system project teams do not. In virtually all standard lease transactions, the tenant representative’s commission is paid by the landlord as a cost of doing business — declining representation rarely reduces rent; it reduces leverage and clinical-risk protection in the document.

That is why I treat healthcare tenant representation as a specialty, not a side desk.

If you are comparing advisors for a medical office search, renewal, or ambulatory expansion, I am available for a confidential conversation about your requirements, timeline, and options.