A Better Way to Real Estate

different by design

ROAM is a national commercial real estate firm specializing in healthcare. From practice startups and expansion to acquisitions, dispositions, and investment sales, ROAM provides comprehensive real estate advisory services tailored to the unique demands of the healthcare industry. Healthcare real estate requires a different level of expertise. Complex zoning and regulatory requirements, specialized construction, practice financing, patient demographics, and long-term operational considerations all influence the success of a transaction. ROAM understands how these factors intersect and how real estate decisions directly impact practice profitability, growth, and long-term value. Combining deep healthcare industry knowledge, sophisticated market intelligence, and extensive transactional experience, ROAM delivers strategic guidance that extends well beyond the transaction itself.
National presence. Boutique service. Specialized healthcare expertise.
‍ROAM brings the resources and reach of a national firm with the personalized attention, responsiveness, and accountability of a boutique advisory practice.

Startups

Opening your first practice can seem overwhelming, but ROAM specializes in high performance startups. From site selection to team assembly, we can make the process easier than ever. So dream big and be bold. We’ve got your back.

Lease Negotiations

Lease negotiations can be intimidating, especially when you’re sparring with an experienced landlord and their skilled team. Before you dive in, give us a call for a free lease evaluation. We can help even the playing field.

Building Purchases

Dream of owning your own building? It might be easier than you think. We can guide you through the process of buying your own medical condo, freestanding building or even ground up construction. Healthcare real estate is all we do!

See how we can help

Why ROAM?

Others see obstacles,

we find solutions

ROAM was founded to challenge the limitations of traditional commercial real estate. Where others see obstacles, ROAM identifies opportunities through experience, creative problem-solving, and a deep understanding of the healthcare industry. Healthcare real estate is complex. Navigating regulatory requirements, specialized facilities, financing, and evolving market conditions requires more than conventional brokerage experience. ROAM brings the industry-specific knowledge and strategic expertise to solve challenges that others often overlook.

Learn more about our team

What our clients say!

I was in the midst of buying a practice when I found myself up against an unreasonable landlord. ROAM not only saved the deal but negotiated new lease terms that were significantly more favorable. I can't recommend them enough.
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Dr. Yahya Radwan
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If you're looking for someone who will go the extra mile and negotiate his heart out go with Brian at ROAM Commercial Realty. Thank you for this beautiful space we call home.
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- Dr. Nasem Dunlop

I can’t say enough about Brian Mills. He was able to save me hundreds of thousands of dollars on my lease renewal against my notoriously tough landlord. He never stopped fighting for me, and I highly recommend him to anyone with an upcoming lease negotiation.

- Dr. Caroline George

Brian helped me find an ideal location in a very tough market for my oral surgery startup. The lease he negotiated for me against the landlord really allowed me to stretch and build my dream practice from day one. Brian is truly an expert in all phases of healthcare real estate and I highly recommend him to everyone at any stage of their career.

- Dr. Laura Pashkowsky

Brian helped us find and negotiate an ideal location for our practice. He was able to achieve terms we didn't think were possible and assembled a team to help us bring our vision to life. We are pretty seasoned doctors but his expertise is on another level. I cannot recommend him enough.
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-Dr. Dean Tanaka

I can confidently say that Brian saved us hundreds of thousands of dollars on our lease negotiation. He made us aware of items we never even considered. You really need an expert on your side and we are so thankful we found Brian.
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-Dr. Andrew Yang

I was so nervous about my upcoming lease renewal as we have a large space in an area with limited vacancies against a very large landlord. ROAM was amazing! They truly are experts in negotiations. They provided a thorough evaluation of my lease compared to the real market and ultimately were able to save us over $350,000 above what the landlord offered and all completely free. I can't recommend them enough.
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-Dr. James Park

I'm an experienced operator and this is my 2nd location. Brian brought a completely different level of expertise. He really understands the vet world and our needs. He was able to secure a really amazing location and negotiated an incredible deal. He helped us navigate the permitting process and was with us every step of the way. This new practice is excelling past our expectations and we owe a huge part to Brian Mills. I can't recommend him enough.
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-Dr. Carmine Bausone

"Thank you for your expertise helping us find and negotiate our terrific location! Highly competent, highly skilled. Brian is great at what he does!"
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-Dr. Danny Hall

Our experience with Tony Dambrosia was nothing short of spectacular, and as anyone who has ever purchased real estate knows, the process is rarely without hiccups. Tony is incredibly professional, diligent, thorough, knowledgeable and creative — qualities that facilitated us as first time building buyers to have a smooth and successful transaction. He is the type of agent you want on your side, and the only one we will ever use again.

-Dr. Kyle Song

They are not only experts at negotiating spaces, but they also have a unique mindset on patient perspective, overhead and production potential. When all these things come together you've found a rare expert in your field
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-Dr. James Low

different by design

Startups

Lease Negotiations

Building Purchases

Why ROAM?

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Dream big and be bold.

A better way to real estate.

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