Modern Ambulatory Facilities for Expanding Health Networks
Built on decades of commercial real estate expertise, Simone Development partners with major health systems to acquire, finance, develop, and manage custom clinical environments, from ambulatory surgery and cancer centers to multi-specialty medical offices.
By directing every phase of development—handling site selection, financing, design-build, and facility operations under one roof—Simone eliminates real estate friction. This integrated approach helps hospital boards accelerate outpatient expansion, preserve capital, and advance their clinical mission.
As system-neutral developers, we partner with healthcare organizations to expand their reach and elevate community care.
Development Strategy
Our priority is to develop a collaborative and transparent partnership that delivers the financial, operational and patient-centered objectives that healthcare systems demand.
We help navigate the strategic decision of whether to own or lease when repositioning or planning for the next generation of facilities. In many circumstances, it may be preferable to lease real estate so that capital is available to invest in programs and people. We assist in all phases of a development project:
- Site Selection
- New Facilities and Adaptive Reuse Strategy
- Land Use Planning and Municipal Approvals
- Debt and Equity Financing
- Project Budgeting and Scheduling
- Parking and Traffic Planning
- Leasing and Revenue-Generating Opportunities
Project Financing
As owners of a 7-million-square-foot real estate portfolio, Simone Development Companies is actively engaged in the capital markets for construction and permanent financing. We have relationships with commercial lenders and secure funding through banks and the securitized bond markets.
Simone Development Companies invests its own capital to ensure best pricing and execution.
Financial Analysis & Planning
Simone Development can provide comprehensive financial reviews of real estate portfolios with strategic recommendations to maximize the effectiveness of assets. We design transactions to incorporate the necessary financial components, including structuring tenant work contribution and free rent periods. Our services include:
- Financial Valuation
- Acquisition and Disposition Strategies
- Lease Structure
- Capital Improvement Planning
- Asset Management
Site Selection & Acquisition
Using the demographic input from our healthcare client, we initiate a search to find the available real estate opportunities that satisfy the strategic goals. Simone Development analyzes the physical and financial criteria to determine the best property to acquire. The acquisition process includes purchase and sale documents, due diligence, and assembly of the professional team to plan and design the new facility.
Architecture & Engineering Management
Simone Development works with architects and engineers to tailor a program to achieve the operational and financial objectives of our clients. We are engaged from the beginning of the project to ensure that cost impacts of design decisions are fully understood. Our architecture and engineering management services include:
- Space Planning and Programming
- Value Engineering
- Contract Management
- Cost Estimation and Comparative Budgeting
Construction Management
From concept to completion we incorporate best practices and use the most advanced technology to create an environment of care that serves our clients’ staff and patients. Our construction management services include:
Planning: Collaborating with project staff and third party professionals to develop a program and create architectural and engineering plans
Pre-Construction: Evaluation and analysis of site and/or existing building conditions, cost estimating, value engineering, scheduling and bid preparation
Construction: Competitive bidding, negotiation and selection of contractors, construction status reporting, project management, compliance, safety and project completion certification
Property Management
Simone Development has a proven track record of meeting the demands to operate healthcare properties at all stages of the real estate life cycle.
Our management team ensures the portfolio is maintained at the highest level to deliver health and safety, maximize efficiency and provide a positive experience for patients and staff.