Our Integrated

Helping unlock the untapped value in your facilities to better support your business strategy.

Your Experts in Strategic Real Estate Management

Cref has decades of experience delivering end-to-end strategic real estate solutions for clients across healthcare and education. We apply that experience to help complex organizations successfully elevate their physical infrastructure through streamlined operations, unlocking value, and enhancing resiliency. 

Our approach integrates a comprehensive suite of services including strategic real estate advisory, owner’s representation in planning, design and construction, expert regulatory and facilities management support, and innovative sustainability solutions. Combined, these services ensure that your facilities work with you – not against you – in support of your mission and strategy. Designed for operators, by operators, our goal is to create long-term relationships with our clients, ensuring their success every step of the way.

Our Services Aligned to Your Needs

How We Work Together

Our approach is hands-on and client-focused. We work with you at every stage, helping to assess, plan, manage, and sustain buildings. We break down silos with our integrated and systemic approach to align your physical infrastructure with your strategic priorities. Our goal is to ensure your success with strategies that align with your objectives and operational needs.

Unlocking Potential with Our Experience

Why Cref

We’re not merely advisors but experienced operators who have stood in your shoes. Our team’s experience operating, running, and improving facilities is unmatched. That perspective allows us to provide recommendations on asset advisory, project management, and regulatory readiness strategies. Our deep understanding of your challenges enables us to provide end-to-end visibility into your real estate portfolio, ensuring a holistic approach to asset management.

Elevate Your Assets, Maximize Your Impact

Crafted by operators for operators, we understand your business priorities, regulatory constraints, and pain points. We’ve faced what you’re facing and found ways to drive success. By working together, we’ll help you save costs, improve efficiency, and leverage your facilities to align with your business goals. We turn buildings and facilities into successful assets by providing better strategic support, focusing on the right business priorities, and amplifying your organization’s core mission.


Our services help you synchronize your real estate assets with your overarching organizational goals, enhancing long-term strategy execution.


By improving asset performance, we transform real estate from a mere expense into a vital, tactical asset driving growth.


We guide you to concentrate on your core mission by managing buildings and facilities, turning them into assets that actively support and advance your business priorities.


We invest in meaningful partnerships with you and believe collaboration is the cornerstone of success. By working together, we help you navigate complex, highly regulated environments.

Our Expertise in Healthcare Facilities

We’ve mastered the complexities of the healthcare sector, a testament to our capability and adaptability. We’re confident we can deliver unparalleled results in any industry because we’ve excelled in healthcare, a field known for its rigorous demands and strict regulations. Learn how our specialized knowledge can be the key to your organization’s success.

Cref's Comprehensive Services

We offer a suite of services to optimize real estate operations, increase asset value, ensure regulatory compliance, and prepare your organization for future growth.

Real Estate Advisory

Align & Optimize

Providing end-to-end strategic guidance that ensures your real estate is aligned with the needs and priorities of your organization—optimizing both where you are today, as well as where you need to be in the future.

  • Owner & Tenant Representation
  • Property Management & Lease Administration
  • Real Estate Strategy
  • Transaction Management

Planning, Design &
Construction Services

Plan & Represent

Partnering as a strategic owner’s representative across all your operational and capital initiatives, including looking after your interests, collaborating with stakeholders on your behalf, managing risks and timelines, and maximizing overall value delivery.

  • Feasibility Studies
  • Comprehensive Planning
  • Owner’s Representation (Owner’s Project Management)

Regulatory & Facilities Services

Prepare & Manage

Providing a constant state of readiness and performance across your real estate portfolio with our extensive regulatory preparedness and remediation expertise. Our facilities performance services emphasize compliance, operational readiness, and patient safety.

  • Regulatory Re-accreditation & Compliance
  • Healthcare Technology Program Management
  • Facility Management Support
  • Emergency Management Services

Sustainability Solutions

Sustain & Evolve

Ensuring your facilities are capitalizing on efficiency opportunities and generating a positive impact on the environment, society, and your bottom line—both now and into the future.

  • Program Design & Governance
  • Sustainability Communications & Reporting
  • Energy Optimization
  • Climate Adaptation & Resilience
  • Environmental & Wastewater Engineering

Turn Impact into Action

Curious about the real-world results of our strategic real estate solutions? Talk with one of our experts to schedule a benchmark assessment to see how we can deliver success for you in the healthcare and higher education sectors.

Related Blog Posts

Contact Us for a Fresh Perspective

Ready to take a fresh look at your current real estate strategy? Discover how Cref’s innovative solutions and services can unlock your property’s potential.