Healthcare Projects


St. Rita's Regional Cancer Center

Lima, OH

 

 

 

 

Southwest Ambulatory

Surgery Center

Mokena, IL

 

St. Rita's Campus

 Parking Garage

Lima, OH

 

 

 

770 High Street

 Medical Office Building

Lima, OH

 

 

Grand Lake

 Regional Cancer Center

Celina, OH

 

 

 750 Building

Lima, OH

 

 

 


Capstone Quadrangle Develops Medical Real Estate

We will own and finance buildings that we develop, but we also work on a fee basis when our clients prefer tha model. Solid stuff. Our business track record is based on a detail-oriented method, where every-thing is handled by partner-level experts. This means we don't develop quite as many projects every year, but our thorough approach and regard fot the physician relationships is appreciated by our provider clients.

In partnership with our healthcare clients, we create solutions addressing their facility and physician requirements. That’s a lot of requirements.

We know. That’s why we’re in business. Capstone Quadrangle has developed many facility types, including:

  • Outpatient Surgery and Endoscopy
  • Renal Dialysis
  • Medical Oncology
  • Radiation Oncology
  • Rehabilitation
  • Laboratory
  • Imaging
  • Physician Office Space

Even in the friendly Midwest, health care providers have plenty of headaches already. They don’t need any more. That’s why they come to Capstone Quadrangle for their health care development and building solutions. There’s no better cure for the construction blues than to offload concerns onto us.

>From more specialized projects like an ambulatory surgery center or ambulatory care center, to a comprehensive physician office building or medical office building, there’s no more dedicated resource in the Midwest for medical and health care building development than Capstone Quadrangle. We don’t cut corners. We only use the best – our principals – in our dealings.

Our reputation precedes us. It’s no different in health care: when you have a particular issue, it makes sense to seek help from the best in the field.

When Milwaukee health professionals need help, they come to our professionals to get their projects off the ground.  When they need a new medical ambulatory care center in the Midwest, Capstone Quadrangle clients trust us to come through with the track record and the expertise in health care building development they need . We take on the headaches when we take on the project. That's our role. We feel your pain – so you don’t have to. People in healthcare understand high stakes. We do too.

At Capstone Quadrangle, we develop projects capitalizing on market opportunities, and mirror this approach in our healthcare work.  We are known for strong product planning skills balanced with quality and value. Our integrity, savvy business instincts and attention to detail have gained us the trust of our clients, investors and lenders. We are agile. When you work with us, your work is handled by firm principals, not delegated down or out. We stand behind what we develop.

Our clients often rely on our collaboration with their attorneys for insight into the application of Stark, Federal anti-kickback and private inurement laws on real estate issues.

We also develop investment-grade commercial real estate, including industrial and office projects. As knowledge evolves in these other real estate arenas in financing, planning, construction, legal, and deal structures, we apply applicable cutting edge ideas to our healthcare work.

Capstone Quadrangle brings an entrepreneurial mindset to capitalize on market opportunities, and this rigor brings an economic reality to our healthcare work. Most often, we become advisors to the hospital executive team, tailoring real estate solutions to support and enhance the overall strategies.

We are known for strong product planning skills, balancing quality and value to fit the context of each problem. Our integrity, savvy business instincts and attention to detail have gained us the trust of our clients, investors and lenders. The majority of Capstone Quadrangle's work is preformed for repeat clients.

We provide a range of services to healthcare clients including facility planning along with site selection, project development and management, financing, and physician space marketing.  Capstone Quadrangle has developed many facility types, including outpatient surgery, dialysis, cancer treatment, rehabilitation, and physician office space.

Capstone Quadrangle has methodically built its reputation over a dozen years, to the tune of what will soon be a quarter of a billion dollars. In the field of Midwest health care and medical building development, Capstone Quadrangle is a monument to best practices. Evidence based medicine? Look no further. At Capstone Quadrangle, our projects are our evidence. Our success is literally written in stone.

Medical Development Services

Capstone Quadrangle partners with hospitals as an extention of the hospital management team, approaching each project form your perspective. We analyze your needs and goals and apply market-based real estate solutions and financing options to achieve your objectives. Our work is conducted on an open-book, full disclosure basis, so there is never a concern about motives or conflict of interest.

Capstone Quadrangle is flexible in defining its role for each engagement. We will execute our healthcare work as developer and owner, though we are also comfortable in a consulting of free-based role. Our ability to act in the owner's interest separates us from other firms, and helps us to manage the development process to produce cost-effective and quality facilities.

Project Feasibility

Buildings are products, and they are measured by whether they meet the market's needs. We bring many years of real estate development experience to each project, and our success is based on working the details and doing the homework up-front, including:

  • Asset Inventory and Assessment
  • Site Due Diligence
  • "Proof of Site" Analysis
  • Zoning/Entitlement Strategy
  • Municipal Approvals
  • Cost Projections & Budgeting
  • Market Conditions Research
  • Financial Feasibility Analysis

Development

Assembling and coordinating a strong team is one of ourmost important roles. Capstone Quadrangle has a track record for success orchestrating the architects, engineers, contractors, and other participants to deliver projects on schedule, on budget and on track for meeting the hospital's goals. A brief list of development tasks includes:

  • Financing (Construction and Permanent)
  • Ownership and Financial Structuring
  • Project Management
  • Site Selction and Due Diligence
  • Site Acquisition
  • Creation of Covenants, Conditions & Restrictions
  • Land Use and Master Planning
  • Environmental and Traffic Studies
  • Functional Programming and Planning
  • Community Relations
  • Product Planning and Design Management
  • Qualifying Consultants and Contractors Ownership and Finanical Structuring
  • Tenant Purchase Options

Medical Space Marketing

Physicians have concerns about many parts of leasing or ownership process. We have a reputation of working well with physicians to make them comfortable with the steps, from deal economics to initial suite design through move-in. Our success is borne out by the repeat business we enjoy from our hospital clients. Tasks we frequently perform include the following:

  • Health Care Office Market Analysis
  • Physician Interest Surveys and Meetings
  • Marketing Plan Development
  • Asset Inventory, Disposition and Back-fill Strategies
  • Lease Development and Negotiations
  • Tenant Relations and Retention
  • Operating Agreements for Ownership Entities
  • Suite Design and Construction
  • Capital Improvement Cost Tracking

Real Estate Management

Strong and positive relationships with physician tenants address both the Hospital’s strategic goals as well as those of the investors, particularly physician investors. We also rank the value of efficient buildings and properly structured facility financing high on the list of important management goals. Capstone Quadrangle can assist you in understanding your real estate assets so they can better support these objectives. We walk in your shoes because we are an owner of real estate as well. Below is a partial list of the management services we have provided to clients:

  • Asset Inventory and Assessment
  • Repositioning Strategies
  • Legal Documentation of Real Estate
  • Equity Investment Analysis
  • Ownership Formation and Documentation
  • Off Balance Sheet Financing / Leaseback Arrangements
  • Market Analysis for Comparable Medical Space
  • Physician Relations
  • Real Estate Acquisition Analysis
  • Asset Disposition Strategies
  • Financial Analysis of Asset Ownership Options
  • Off Balance Sheet Financing
  • Sale / Lease-Back Arrangements

 

 

Midwest Health Care Development | Milwaukee Medical Office Building | Wisconsin Ambulatory Care Center | Midwest Medical Office Building