HCA Houston Healthcare – North Cypress Campus Doctors’ Pavilion

Project Summary

ation with North Cypress Land Ventures POB LTD (NCLV)—a physician-led investment group—NexCore Group delivered the Doctors’ Pavilion, a four-story, 112,505-square-foot medical office building on the HCA Houston Healthcare North Cypress campus.

This third physician office building (POB III) was designed to fill a strategic gap: the absence of an on-campus ambulatory surgery center (ASC) in one of the nation’s most successful physician-developed hospital campuses. NexCore led the full development process, including planning, design, construction oversight, leasing, and property management—creating a Class A, multispecialty destination that strengthens patient access and physician alignment in Houston’s fast-growing Cypress corridor.

The Challenge

The original North Cypress campus, developed before the industry-wide shift toward outpatient care, lacked an integrated ASC. This created care inefficiencies, fractured patient experiences, and logistical burdens for both providers and patients.

Key challenges included:

• Lack of On-Campus ASC: Patients and physicians were forced to travel between locations for procedures—raising costs, lowering efficiency, and eroding continuity of care.
  
• Outdated Infrastructure: The existing campus couldn’t accommodate modern multispecialty needs or expand surgical services without new development.
  
• Physician Recruitment Amid COVID-19: Lease finalizations and tenant recruitment were disrupted by the pandemic, adding urgency and uncertainty to timeline management.
  
• Experience Expectations: The physician-led NCLV board demanded a facility that reflected the high standards of its founders—requiring precision execution, operational excellence, and sustained asset value.
  

NexCore’s Solution

NexCore provided a holistic development solution—balancing design strategy, recruitment support, financial structuring, and long-term operations.

1. Integrated Outpatient Platform

• Created a multispecialty facility with an on-site ASC—bringing outpatient surgery, diagnostics, and physician offices into a single location.
  
• Enhanced wayfinding, parking, and circulation to reduce patient stress and improve accessibility.
  
• Streamlined provider workflows to increase daily throughput and reduce cost per visit.
  

2. Stakeholder-Aligned Leasing & Ownership

• Structured the project as a physician joint venture, enabling local specialists to invest directly in high-performing medical real estate.
  
• Supported tenant recruitment during COVID-19 through NexCore’s in-house leasing team—securing commitments and maintaining momentum.
  
• Delivered flexible space planning options to accommodate both established and incoming providers.
  

3. Turnkey Development & Property Management

• Led all aspects of development and construction in partnership with Arch-Con, delivering on time and on budget.
  
• Transitioned into full-service property management post-completion—ensuring long-term performance and stakeholder satisfaction.
  

Results

The Doctors’ Pavilion is now a cornerstone of the North Cypress campus and a model for physician-aligned development in Houston:

• On-Campus ASC: Eliminated travel between facilities and reduced care fragmentation.
  
• Patient Experience Upgraded: Intuitive wayfinding, dedicated parking, and consolidated services improved satisfaction and retention.
  
• Physician Empowerment: Investors gained equity in a premier asset while focusing on patient care—benefiting from NexCore’s operational support.
  
• Operational Efficiency: Centralized services and streamlined clinical pathways increased volume and lowered per-visit costs.
  
• Sustained Partnership: The project deepened NexCore’s relationship with HCA and created a scalable platform for future physician-led development.
  

A Model for Physician-Led Innovation

By turning a complex set of challenges into a fully realized solution, NexCore helped elevate the standard of care, experience, and ownership for physicians and patients alike. The Doctors’ Pavilion stands as a testament to what’s possible when healthcare development is aligned with clinical vision, community need, and real estate expertise.