VP of Real Estate

About the role

We are looking for a Vice President of Real Estate to join the Law Department. The Vice President of Real Estate is responsible for leading the organization's real estate strategy, acquisitions, dispositions, leasing, development, and portfolio management activities. The Vice President collaborates closely with executive leadership, finance, legal, operations, and external stakeholders to identify opportunities, manage risk, and optimize performance across the real estate portfolio.

Responsibilities

• Serve as primary point of contact for all real estate‑related matters.
• Manage all aspects of a 200+ lease property portfolio.
• Negotiate, review, and finalize real estate‑related agreements, including lease renewals, legal reviews, and adjustments to leases.
• Engage brokers as appropriate to assist in lease negotiations.
• Advise Operations and other internal clients on legal and financial implications of important lease terms.
• Negotiate optimal deals, including rent, tenant‑improvement allowances, and other key terms.
• Develop supporting analyses and collaborate with Operations.
• Manage all physical exits of leased properties, coordinating with IT and facilities management.
• Develop and execute plans to limit financial exposure on leases of closed facilities.
• Lead ongoing management of leases and related documents, such as amendments, assignment/assumption agreements, SNDA’s, renewals, estoppel certificates, attornment agreements, and guaranty agreements.
• Develop a three‑to‑five‑year real estate strategy in collaboration with Operations for the entire portfolio of practices.
• Gain detailed understanding of real estate needs and opportunities for each region and practice, serving as the primary real estate subject‑matter expert for NADG.
• Provide recommendations based on location, facility conditions, revenues, EBITDA, patient base, competition, and other factors to guide investments, expansions, consolidations, or relocations.
• Manage the development process for new facilities and improvements to existing leased properties.
• Oversee design, construction, equipment purchasing, furniture and décor, IT implementation, and clinical setup to ensure successful openings and handoffs to operations.
• Maintain and optimize design, construction, and equipment standards.
• Provide input and analyses to support selection of new sites.
• Manage real estate brokers to assist in site selection and lease negotiations.
• Engage and supervise outside counsel and other service providers for real estate‑related matters as necessary.

Requirements

• 7‑10 years of experience in corporate real estate portfolio management (retail or hospitality preferred).
• 5+ years working cross‑functionally with field operations.
• Proven track record managing acquisitions, dispositions, leasing, development, and portfolio management.
• Deep understanding of commercial real estate markets and investment principles.
• Strong financial modeling, valuation, and underwriting expertise.
• Excellent negotiation and contract management skills.
• Strong analytical and strategic planning capabilities.
• Bachelor’s degree in Real Estate, Finance, Business Administration, Economics, Engineering, or a related field.