📍Northern Virginia · DMV · National Healthcare Real Estate
📞Confidential Consultations Available
⚡Affiliated with Oval Business Group · Samson Properties
Healthcare Real Estate · Advisory · Brokerage · Distressed Assets

Healthcare Real Estate.
Handled with
Expertise and Care.

CareClosure™ is a specialized healthcare and wellness real estate firm serving Northern Virginia, the DMV, and national healthcare clients. We bring deep sector expertise to every transaction — from medical office leasing to distressed facility disposition.

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Strategic Advisory
Portfolio strategy, market analysis, and real estate planning for health systems
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Healthcare Brokerage
Tenant representation, investment sales, and development for medical properties
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Distressed Asset Specialists
Healthcare facility closures, receivership advisory, and distressed disposition
Active Listing · NOVa
Medical Office — Fairfax
18,400 SF · Class A · $6.2M
Investment Sale
Tenant Rep · Arlington
Behavioral Health Clinic
4,200 SF · Medical TI Package
Lease Executed
$1.2T
US Healthcare Real Estate Market
6.8%
Annual Market Growth Rate
DMV
Primary Service Market
Our Practice

Three Disciplines.
One Specialized Firm.

01
🏛
Strategic Advisory

Healthcare Real Estate Counsel

Strategic real estate planning for health systems, large practices, and healthcare investors. We serve as the specialized real estate intelligence layer your organization doesn't have internally — and doesn't need to build.

  • Portfolio optimization and rightsizing
  • Market entry and expansion strategy
  • Site selection and feasibility analysis
  • Lease portfolio audit and renegotiation
  • Healthcare real estate M&A support
  • Development consulting for new facilities
Retain CareClosure Advisory →
02
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Transaction Brokerage

Healthcare Property Transactions

Commission-based tenant representation, landlord representation, and investment sales for healthcare and wellness properties. We understand the unique requirements of medical tenants — from power loads to plumbing specifications to HIPAA-compliant buildouts.

  • Medical office tenant representation
  • Healthcare investment property sales
  • Senior living and behavioral health
  • Urgent care and ambulatory surgery centers
  • Dental, optometry, and specialty practices
  • Wellness franchise real estate placement
List or Lease with CareClosure →
03
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Distressed Asset Practice

When a Facility Faces its Hardest Moment

Healthcare facilities in distress require specialists who understand both the real estate and the operational, regulatory, and human dimensions of the situation. CareClosure handles facility closures, receivership advisory, and distressed asset disposition with expertise and compassion.

  • Receivership advisory for lenders and courts
  • Distressed facility acquisition representation
  • Healthcare foreclosure asset disposition
  • Compassionate patient and staff transition support
  • Post-PE rollup failure restructuring
  • Regulatory closure compliance guidance
Consult on Distressed Assets →
Property Expertise

Every Category of
Healthcare Real Estate.

CareClosure serves the full spectrum of healthcare and wellness real estate — from small single-specialty practices to large health system campus transactions. Each property type has unique requirements we know intimately.

Healthcare real estate is fundamentally different from standard commercial real estate. Zoning restrictions, certificate of need laws, infection control specifications, medical waste compliance, and HIPAA requirements mean that a specialist — not a generalist — produces materially better outcomes for healthcare clients.

Our advisors understand these requirements because we've worked exclusively in this vertical — not as a sideline to retail or office leasing, but as our primary focus.

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Medical Office Buildings
Class A and B MOB leasing, investment sales, and development. Single and multi-tenant configurations.
All Services
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Senior Living Facilities
Independent living, assisted living, memory care, and skilled nursing. Acquisition, disposition, and development.
Brokerage + Advisory
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Behavioral Health
Outpatient mental health clinics, substance abuse treatment centers, and psychiatric facilities.
Advisory + Distress
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Urgent Care & ASC
Urgent care centers and ambulatory surgery centers — tenant rep and investment sales for this high-growth segment.
Brokerage
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Dental & Specialty Practices
Dental, orthodontic, optometry, dermatology, and other specialty practice real estate. DSO expansion support.
Brokerage
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Distressed Healthcare Assets
Facilities in financial distress, receivership, or regulatory closure. Specialized disposition and transition expertise.
Distressed Practice
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Wellness & Integrative
CBD wellness centers, med spas, physical therapy, chiropractic, integrative medicine, and cannabis dispensary real estate.
All Services
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Pharmacy & Lab
Pharmacy-anchored retail, clinical lab facilities, diagnostic imaging centers, and specialty pharmacy real estate.
Advisory + Brokerage
Northern Virginia · DMV Focus

The Commonwealth's
Premier Healthcare
Real Estate Market.

The Northern Virginia and DMV corridor is one of the most concentrated, highest-value healthcare real estate markets in the eastern United States. Federal healthcare density, aging demographics, and explosive population growth create continuous demand across every healthcare property category.

Prince William County
Primary market · Fastest-growing NoVA jurisdiction
Primary
Fairfax County
Largest NoVA market · Inova + Kaiser anchor
Primary
Arlington County
High-density · Amazon HQ2 healthcare corridor emerging
Active
Loudoun County
Rapid residential growth driving healthcare demand
Growing
Richmond Metro
VCU Health anchor · Secondary market served
Expanding
Hampton Roads
Military healthcare + Sentara network
Expanding
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14
Major Health System Campuses in NoVA
Inova, MedStar, Kaiser, INOVA Fairfax, VHC, Children's National and affiliates — all actively acquiring, leasing, and divesting real estate.
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2.4M+
Prince William / Fairfax Combined Population
One of the fastest-growing, highest-income metro corridors in the US — creating sustained healthcare real estate demand at every acuity level.
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NIH + DoD
Federal Healthcare Anchors
NIH, Walter Reed, Pentagon medical complex, and 15+ VA facilities create a permanent federal healthcare real estate demand layer unmatched by any other market.
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340+
Licensed Cannabis Dispensaries Statewide
Virginia's cannabis expansion creates a specialized wellness real estate opportunity — dispensary site selection, regulatory compliance, and tenant representation.
Distressed Asset Practice

When Care Meets
Difficult Closure.

Healthcare facilities in distress require advisors who understand the regulatory environment, the operational complexity, and the human stakes involved. CareClosure was built for exactly this moment.

CLOSURE
Why Healthcare Distress is Different
A distressed dialysis clinic is not the same as a distressed strip mall. Patients depend on continuity of care. Staff have specialized training. Regulatory bodies require orderly transition. Licenses must be transferred carefully. Equipment has specialized value and disposal requirements.
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Medicare/Medicaid Reimbursement CutsWhen reimbursement rates fall, highly leveraged healthcare operators quickly face cash flow crises that threaten facility viability.
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Regulatory License RevocationState health department citations can trigger rapid facility closure orders, requiring immediate real estate disposition expertise.
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Post-PE Rollup FailuresPrivate equity-backed healthcare rollups that overleveraged during 2018–2022 are now hitting debt maturity walls — generating significant distressed inventory.
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Post-COVID Debt MaturitiesEmergency PPP and EIDL loans taken in 2020 are maturing alongside deferred rent and operational debt — compressing margins at thousands of facilities.
Our Distressed Asset Process
01
Confidential Assessment
We assess the full distressed situation — real estate, operations, regulatory status, outstanding liabilities — under full NDA. No judgment. Complete confidentiality.
02
Stakeholder Coordination
We coordinate across lenders, regulators, patients, staff, and the operator to develop an orderly transition plan that protects all parties' core interests.
03
Asset Valuation & Marketing
Healthcare-specialized valuation accounting for equipment, licenses, certificate of need, real estate, and goodwill. Targeted marketing to qualified healthcare operators and investors.
04
Transaction & Transition
We manage the full transaction to closing — and coordinate the patient and staff transition to ensure care continuity is maintained throughout the process.
05
Post-Closure Support
For facilities that fully close, we assist with final regulatory filings, equipment liquidation, lease termination, and community notification — the details most advisors overlook.
The OBG Ecosystem

One Team. Every
Business Need.

CareClosure™ is the healthcare real estate division of Oval Business Group — giving clients access to a fully integrated advisory ecosystem across real estate, M&A, lending, and franchise development.

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Oval Realty™
Parent Brokerage
Affiliated with Samson Properties. CareClosure operates as the specialized healthcare real estate division of Oval Realty.
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LoansBloom™
SBA Healthcare Financing
SBA 504 and 7(a) loans for healthcare real estate acquisitions. Medical practices, dental offices, and wellness facilities.
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BizQuisition™
M&A Advisory Partner
Healthcare business acquisitions almost always include real estate. BizQuisition handles the business; CareClosure handles the property.
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FranMerica™
Healthcare Franchise Real Estate
CareClosure is the dedicated real estate partner for every healthcare and wellness franchise placement through FranMerica.
Market Intelligence

The Numbers That Make Healthcare
Real Estate Irreplaceable.

$1.2T
Total Market Cap
Healthcare real estate is the largest institutional-grade alternative asset class in the US, larger than industrial or hospitality.
6.8%
Annual Growth Rate
Driven by aging Baby Boomers — 77 million entering peak healthcare consumption years through 2040.
95%
Avg Occupancy Rate
Medical tenants have the highest lease renewal rates and lowest vacancy of any commercial real estate category.
4.5%
Average Cap Rate
Healthcare properties command premium valuations due to mission-critical use, credit tenants, and long lease terms.
JT
Jewan Tiwari
Founder · Managing Principal
Credentials & Affiliations
  • Founder & Managing Principal, Oval Business Group (OBG)
  • Licensed Real Estate Agent, Samson Properties (Oval Realty™)
  • M&A Certification, New York Institute of Finance
  • Mid-Atlantic Regional Broker, ProNova Partners
  • Founding Committee Chair, Prince William Chamber of Commerce
  • Former President, America Nepal Society (2014–2017)
  • Virginia Asian Advisory Board (2019–2023)
  • Author, EXITONOMICS™ · FRANOMICS® Trilogy (forthcoming)
The Advisor

Integrated Expertise.
Uncommon Perspective.

Jewan Tiwari brings a genuinely rare combination to healthcare real estate — a licensed broker with deep M&A advisory experience, franchise development expertise, and SBA lending knowledge. Most real estate advisors negotiate leases. Jewan understands the full business context behind every healthcare real estate decision.

Having personally operated a 7-Eleven franchise, founded Foodmerica (a food-tech platform), and built OBG across four verticals, Jewan understands what healthcare operators actually need — not just the real estate transaction, but the business outcome the transaction is meant to enable.

Healthcare Real Estate Medical Tenant Representation Investment Sales Distressed Assets SBA 504 Financing Healthcare M&A Franchise Real Estate Senior Living Northern Virginia Behavioral Health Cannabis Real Estate Wellness Properties
Get In Touch

Let's Discuss Your
Healthcare Real Estate Need.

Whether you're a health system seeking strategic counsel, a practice looking for space, an investor evaluating healthcare assets, or a lender with a distressed healthcare property — CareClosure begins with a confidential consultation.

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Strategic Advisory Inquiries

Portfolio strategy, market analysis, and real estate planning for health systems and large organizations. Retainer-based engagements from $5,000.

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Transaction Inquiries

Healthcare tenant representation, investment property listings, and purchase advisory. Commission-based — no upfront cost for tenants and buyers.

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Distressed Asset Confidential Line

All distressed healthcare inquiries handled under immediate NDA. First consultation at no charge. Complete confidentiality guaranteed.

An Oval Business Group Company
CareClosure™ operates as the healthcare real estate specialty division of Oval Business Group — affiliated with Samson Properties, LoansBloom™, BizQuisition™, and FranMerica™. Northern Virginia headquarters. National capability.
Schedule a Consultation

All inquiries handled under strict confidentiality · Response within 24 hours · Distressed inquiries receive immediate NDA