Service · Ground-Up Development

Development &
Build-to-Suit

From land assembly to ribbon-cutting — purpose-built healthcare facilities across Ontario and Alberta. The only developer who studied how clinical spaces must perform before building them.

Start a DevelopmentAll Services →
LTC Home Development—Retirement Residence Development—Dental Clinic Build-to-Suit—Medical Office Development—Ambulatory Care Development—Physiotherapy Clinic Build-to-Suit—Walk-In Clinic Development—Health Campus Development—Land Assembly—Feasibility Studies—Anchor Tenant Procurement—LTC Home Development—Retirement Residence Development—
Healthcare facility under construction
Development Practice

Healthcare real estate development across Ontario and Alberta

Building a healthcare facility is one of the most complex development undertakings in commercial real estate. Clinical workflows, infection control standards, HVAC and ventilation requirements for specific medical uses, radiation shielding for diagnostic imaging, plumbing demands for operating rooms and dental procedure suites, accessibility mandates, and provincial health authority approval processes — these are not items a generalist developer can improvise through. They must be understood before a shovel goes in the ground.

Mya Qi, MPH advises on development mandates from the foundation of a graduate education in Public Health. She understands how healthcare is delivered — which means she understands how healthcare facilities must be designed, constructed, and programmed. HEPA filtration, negative pressure isolation rooms, ASHRAE 170 ventilation standards, medical gas piping, radiation shielding for MRI and CT suites, biosafety cabinet requirements for laboratories, laminar airflow for operating rooms, compressed air and vacuum systems for dental clinics, lead-lined x-ray rooms, and CSA Z317 compliance are part of every development brief — not afterthoughts. That clinical-to-construction understanding informs every PRAXIS development advisory mandate.

PRAXIS undertakes development across the full healthcare spectrum: medical office buildings from single-storey suburban clinic pads to multi-storey urban MOBs; long-term care homes in compliance with Ontario MOHLTC and Alberta AHS standards; retirement residences and assisted living facilities across every care model; dental and orthodontic clinics purpose-built with discipline-specific infrastructure; physiotherapy, chiropractic, and allied health studios; ambulatory care centres for surgical, diagnostic, and same-day procedure use; walk-in and urgent care clinics; mental health and rehabilitation facilities; medical laboratories; and health and wellness villages integrating primary care, allied health, pharmacy, and community services; and veterinary clinics and animal hospitals purpose-built for every practice model from general companion animal to specialist and emergency facilities.

Development coverage spans all major Ontario growth markets — the GTA, Ottawa, Hamilton, Kitchener-Waterloo, Barrie, London, Peterborough, Guelph, Windsor, St. Catharines, and the surrounding 905 belt — and all Alberta growth markets including Calgary and its satellite communities (Airdrie, Cochrane, Okotoks, Chestermere), Edmonton and the Capital Region (St. Albert, Sherwood Park, Spruce Grove, Leduc, Beaumont), Red Deer, Sylvan Lake, Lethbridge, Medicine Hat, Grande Prairie, and Fort McMurray.

Development Services

→Land identification & assembly
→Site feasibility & clinical programming
→Zoning & municipal approvals coordination
→Architect & consultant team assembly
→Anchor tenant procurement
→Construction financing advisory
→Project management coordination
→Pre-leasing & pre-sale strategy
The PRAXIS Difference

"I don't just develop buildings that will be used for healthcare. I develop buildings that are designed around how healthcare is actually delivered — because I understand the clinical workflows from the inside out."

— Mya Qi, MPH · Principal Broker

Common Questions

Healthcare development — answered

What is healthcare real estate development?

Healthcare real estate development is the ground-up planning, financing, construction, and delivery of purpose-built clinical facilities — including medical office buildings, long-term care homes, retirement residences, dental clinics, veterinary clinics, ambulatory surgical centres, and diagnostic imaging centres. Unlike general commercial development, healthcare development requires regulatory compliance, clinical workflow integration, and an understanding of how Ministry and AHS funding structures affect capital planning.

What is a build-to-suit clinic program?

A build-to-suit clinic program is a development arrangement in which a landlord or developer builds a clinical facility to the exact specifications of the healthcare tenant, who then leases it under a long-term agreement. This gives the practitioner a purpose-built clinic without the capital requirement of purchasing a property outright. PRAXIS structures and negotiates build-to-suit programs for physicians, dentists, veterinarians, and allied health operators across Ontario and Alberta.

What types of healthcare facilities does PRAXIS advise on for development?

PRAXIS advises on ground-up development of medical office buildings, long-term care homes, retirement residences, assisted living facilities, dental and orthodontic clinics, veterinary clinics and animal hospitals, ambulatory surgical centres, diagnostic imaging centres, primary care and walk-in clinics, mental health facilities, physiotherapy and rehabilitation centres, and health and wellness plazas across Ontario and Alberta.

How does PRAXIS support healthcare developers and landlords?

PRAXIS advises developers, REITs, and institutional landlords on healthcare development projects — including site selection and feasibility, tenant pre-leasing and anchor recruitment, clinical program planning, lease structuring for healthcare tenants, and phased development advisory for mixed-use healthcare campuses.

What markets does PRAXIS cover for healthcare development?

PRAXIS advises healthcare development projects across Ontario — including Toronto, Ottawa, Hamilton, Burlington, Oakville, Brampton, Mississauga, Vaughan, Markham, Barrie, Kingston, Peterborough, and secondary Ontario markets — and across Alberta — including Calgary, Edmonton, Airdrie, Cochrane, Okotoks, and all Alberta communities.

Have a site? A brief? A healthcare development vision?

Discuss Your DevelopmentAll Services →