Colliers’ National Director of Healthcare Shawn Janus on the shift to outpatient care, medtail, AI in clinical settings, and why healthcare real estate keeps growing regardless of cycles.

Shawn Janus has spent more than 30 years building national healthcare real estate platforms, first at Lillibridge, then JLL, and now Colliers, where he serves as National Director of Healthcare. He has worked on both the principal and advisory sides of the business, giving him a perspective most people in this niche never develop.

In this episode, Shawn joins host Adam Siegel for a conversation about building a national healthcare practice, why the shift from inpatient to outpatient is accelerating, what AI is doing in clinical settings today, and why someone once told him healthcare was boring.

• Shawn Janus's background and 30 years in CRE
• From accounting at Peat Marwick to commercial real estate
• A fraternity connection that led him into healthcare real estate
• The first private REITs and the institutionalization of the asset class
• Growing platforms from the ground up: Lillibridge, JLL, and Colliers
• What it takes to build a national healthcare brokerage platform
• Culture, brand, training, and the partnership model
• Why healthcare real estate is still a relationship business
• Advising REITs, developers, health systems, and physician groups
• How a principal background makes a better advisor
• MOBs are now MOPs: why the vernacular shift matters
• Healthcare as the tortoise: steady gains, no dramatic crashes
• Slow decision-making, government reimbursement, and payer mix
• What is driving the shift from inpatient to outpatient care
• Demographics, home health, technology, and consumer expectations
• Is enough being built to meet the coming demand? No.
• Physician shortages and the workforce crisis keeping C-suite up at night
• Why office conversions rarely work — and why retail does
• Med-tail: parking, open floor plates, ceiling heights, and flexibility
• Does medical traffic help or hurt retail co-tenants?
• Where AI is making an impact: diagnostics and back office
• Robotics in surgical settings and flexible space design
• Telehealth, waiting room shrinkage, and throughput efficiency
• What will drive healthcare real estate over the next three to five years
• Tracking federal reimbursement, CMS, and lobbying activity weekly
• Step back from the micro and read the macro
• Geographic markets and following the demographic growth states
• Need never goes away and change creates opportunity
• Behavioral health, rehab, and the specialty areas growing fastest
• Rapid fire: $10M stabilized outpatient, worst advice, contrarian take

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As National Director | Healthcare for the USA, Shawn's focus is to cultivate a strong, value-driven platform in the healthcare space, allowing Colliers to raise the bar in delivering innovative and successful solutions to our healthcare clients.  

Shawn brings more than 30 years of commercial real estate experience, including more than 20 years dedicated to the healthcare real estate sector.  He has held senior positions as both principal and advisor.  Shawn's clients have included health systems, hospitals, physician groups and third party owners/developers.  He prides himself on understanding the drivers of the healthcare industry, and applying that knowledge to help clients develop real estate strategies which support their vision and achieve their goals.  

Prior to joining Colliers, Shawn served at Caddis Healthcare Real Estate as Managing Director, where he was responsible for new business development and executive leadership of healthcare real estate projects throughout the Midwestern U.S.  Previously, he served in leadership positions at Pacific Medical Buildings, JLL, and Lillibridge.  During his tenure as

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