Greystone has provided consulting services ranging from Feasibility Studies and Valuations to turn-key Fee-for-Service Development to a diverse spectrum of clients across the country. With each engagement, we tailor our services around the client’s immediate and long-term real estate objectives and follow a “hands-on” approach to achieving those objectives within the designated time and financial constraints.

Consulting Services

Feasibility and
Market Studies

Campus Master

Zoning, Permitting
and Code Advisement

Architect / Contractor Selection and

Land Negotiation and

Leasing and

Design and

Past Projects

Financing and Loan Procurement

As with every aspect of the development process, we approach project financing with a great deal of consideration given to the ownership/investor structure to ensure complementary terms are selected. Greystone has developed relationships with local and national lenders who seek out and specialize in healthcare funding. We utilize these relationships to obtain the most appropriate and competitive underwriting terms available. We also maintain a close watch on the financial markets to advise our partners and investors on fluctuations in interest rates, capitalization rates and commercial sales activities. This allows us to recommend any necessary modifications to in-place debt structures or long-term investment positions.

Project Team Selection

When assembling a project team, we engage only project professionals who are well versed in the complexities associated with medical design and construction. Select architects and contractors are included on our project bid lists after completing a comprehensive qualification process and providing exemplary medical construction credentials. With these professionals, Greystone implements a “hands-on” style of design and construction management. We oversee every aspect of the design process ensuring that quality, functionality and efficiency are the focal points of the architects and engineers. Once the project team is assembled, Greystone functions as the central point of contact and controls the development process throughout the final certification stages.

Site Selection

Selecting an appropriate site is the foundation for any successful healthcare facility. Our professionals have managed every aspect of site selection including zoning confirmation, developable capacity, floor area ratios (FAR’s), utility accessibility, parking requirements, marketing and visibility, growth opportunity, patient access and permitting. An oversight of any one of these critical components could significantly impact the intended utilization of a site. We thoroughly review these items with our clients prior to the evaluation process to ensure a mutual understanding of the initial property requirements.

Design Management

Greystone offers design consulting to complement the efforts of pre-selected architects, engineers and designers. Our extensive knowledge of medical development allows us to evaluate a prospective property’s site, shell building and interior layout for conformity to our client’s objectives. From parking and market visibility to life safety and patient accessibility, we can locate and recommend facilities that are well suited to healthcare uses and that accommodate the specific needs of our client. While design professionals typically concentrate on elements of code compliancy and creativity, we focus on functionality and efficiency to bring the highest level of profitability to our client’s practices. Our understanding of specialty layouts, staff and patient flow, HIPAA privacy requirements and design and construction coordination adds a level of comprehensive oversight unsurpassed in the healthcare real estate industry.

Project Document Preparation

As part of our document production and negotiation process, Greystone will draft, review and/or negotiate ownership documents, ground leases, declarations, partnership or net profits interest documents, condominium purchase agreements, tenant leases and construction standards on behalf of its clients. We welcome input from our client’s legal and financial advisors with whom we work to effectively create a comprehensive real estate package. We will manage all aspects of the negotiation process from initial drafting through final document execution allowing our clients to maintain focus on managing their medical practice.

Feasibility & Market Studies

The uncertainty currently surrounding our nation’s healthcare system is driving both not-for-profit and for-profit hospital systems as well as physician practices to carefully evaluate options and provide verifiable justification for key real estate decisions. The time to consider these options to ensure implementation of the appropriate market terms and development structure is during the initial concept phase. Greystone’s Fair Market & Feasibility Studies are valuable tools designed to address compliance regulations and long-term, strategic real estate decisions.