For decades, American healthcare infrastructure has centered around large hospital campuses. But healthcare delivery is undergoing a structural shift. As chronic disease becomes the dominant driver of healthcare utilization, care must increasingly move closer to where patients live.
CD Healthcare Infrastructure believes the future of healthcare is last-mile: neighborhood outpatient facilities embedded within residential communities, where patients can conveniently access primary care, specialty care, imaging and chronic disease management without traveling long distances.
“Chronic care drives nearly 90 percent of U.S. healthcare spending,” says Clare Duan, founder and principal of CD Healthcare Infrastructure. “Last-mile infrastructure is built for how chronic disease is actually managed, with frequent visits, easier access, stronger continuity and lower-cost care closer to home.”
Across major health systems, many neighborhood outpatient sites remain outdated, undercapitalized and operationally underserved. CD Healthcare Infrastructure funds, modernizes and manages these locations so health systems can expand care without adding facility burden. Working alongside clinical, real estate and facilities teams, CD Healthcare transforms neighborhood clinics into high-touch access points that strengthen patient retention and support downstream specialty, imaging, surgical and oncology care.
For a 10,000-patient clinic, these last-mile facilities can improve health-system network retention by 20 percent, preserving between $20 million and $40 million in annual revenue.
Novant Health’s University City clinic shows the model in action. In a dense, senior-heavy market, CD Healthcare expanded the site from 28 to 35 exam rooms and modernized the patient environment, helping transform it into one of Novant Health’s busiest outpatient locations in Charlotte.
Taking Facility Headaches off Health Systems’ Plates
CD Healthcare Infrastructure built its in-house AI orchestrator to make property management faster, simpler and more accountable for last-mile healthcare facilities. Tenants simply send an email, no portal, no ticketing system, no added workflow. In less than two minutes, CD Healthcare acknowledges the request, summarizes the issue, location and urgency, and routes it to the right property manager or vendor.
From there, every step is streamlined: escalation reminders every 30 minutes until resolution, vendor coordination, repair scheduling, tenant updates and closeout verification. Human property managers stay in control, while AI keeps the process moving with speed, accuracy and accountability, allowing health systems to focus on patients, not building headaches.
The Team Scaling Last-Mile Healthcare
CD Healthcare Infrastructure is bringing together an uncommon coalition for a critical healthcare shift: physicians, hospital executives, real estate operators, private equity investors and AI scientists working together to rebuild the last mile of care.
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We take facility headaches off health systems’ plates, responding in minutes and managing every last-mile site with clinical urgency.
CD Healthcare is guided by current and former hospital operators and clinical executives from major health systems such as Novant Health, Mount Sinai, Texas Health Resources and Mass General Brigham leaders who understand how care is actually delivered.
Founder and Principal Clare Duan, trained at MIT and Harvard Medical School’s Global Healthcare Leaders Program, founded CD Healthcare to bring world-class care closer to where patients live. Her experience across distressed healthcare real estate at Colony Capital, UBS Healthcare and Morgan Stanley Real Estate shaped a simple belief: to lower healthcare costs, infrastructure must serve where money is spent most on chronic care.
On the technology side, AI scientists from Qualcomm, Bell Labs and Carnegie Mellon University have helped CD Healthcare build proprietary in-house AI capabilities for one mission: helping health systems manage last-mile facilities faster, smarter and more reliably.
Turning Empty Drugstores into Healthcare Front Doors
Through its renovated-to-suit model, CD Healthcare is turning yesterday’s drugstores into tomorrow’s healthcare front doors, transforming vacant CVS and Walgreens locations into modern outpatient facilities built for clinical care, patient convenience and the future of neighborhood medicine.
Together, this team is turning CD Healthcare’s last-mile vision into reality, transforming fragmented neighborhood real estate into mission-critical healthcare infrastructure, faster, smarter and closer to home.
Healthcare Infrastructure Closer to the Point of Care
Healthcare real estate investment is no longer judged only by occupancy, lease duration or proximity to major hospital campuses. Executive buyers now face a harder question: whether a facility network can support care patterns that have moved steadily away from the main hospital and into the neighborhoods where patients already live. Aging demographics, chronic disease management and payer pressure have made outpatient access a strategic issue, not just a property decision. A poorly placed or underinvested site can weaken patient retention, strain capital budgets and force health systems to choose between community reach and core hospital spending.
The most effective healthcare service providers now need to understand the economics of care delivery as deeply as the economics of real estate. Traditional medical office strategies often favor larger assets clustered around hospital campuses, but many routine and recurring care needs depend on smaller sites embedded in dense residential markets. These facilities must be easy to reach, visible, appropriately sized and capable of supporting primary care, diagnostics and specialty referrals without requiring patients to navigate the main campus for every visit. For executives acquiring service partners, location quality should be assessed through patient behavior, referral flow and demographic fit rather than square footage alone.
Capital discipline has become equally important. Health systems often lease satellite sites that are essential to market coverage but too small to command the same internal funding priority as emergency departments, surgical suites or major inpatient assets. Outdated buildings may still hold valuable patient bases, yet renovation costs can compete with mission-critical hospital spending. The strongest partners reduce that tradeoff by funding and managing upgrades while respecting the health system’s specifications, brand standards and care-use requirements. The buyer should look for providers that can modernize facilities without shifting unnecessary capital burden back to the tenant.
Execution quality is where many real estate models separate from true healthcare infrastructure support. Community clinics and outpatient sites require consistent property management, fast maintenance response and coordination with facility teams that cannot afford avoidable disruption. Scale alone is insufficient when hundreds of satellite locations must remain usable, clean, compliant in practice and aligned with clinical workflow. A credible partner should bring healthcare fluency, disciplined asset oversight, renovation capability and data-informed site selection into one coordinated service model.
CD Healthcare Infrastructure stands out because its model is built around last-mile outpatient facilities rather than conventional campus-centered aggregation. It acquires, modernizes and manages smaller healthcare assets close to residential demand, including medical office buildings and converted retail drugstores suited for future community care. Its approach emphasizes hospital-directed design, capital-conserving renovations, in-house property management, rapid maintenance intake and AI-supported service coordination. As a vertically integrated healthcare real estate investment platform, it focuses on modernizing last-mile outpatient infrastructure near where people live and work. For executives prioritizing access, patient retention and disciplined capital use, CD Healthcare Infrastructure is a highly relevant recommendation.
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Healthcare Service Providers Info
Q1
What Should Health Systems Expect from Healthcare Service Providers?
The best service partners help health systems focus on patient care by handling the operational demands that surround it. Healthcare Service Providers should support everything from facility planning and maintenance to access and patient flow, while understanding the financial realities health systems face. When these needs are not managed well, outpatient locations can become difficult to maintain, inefficient to operate and less effective for patients.
Q2
How Does CD Healthcare Infrastructure Support Last-Mile Care?
As healthcare moves closer to where patients live, many outpatient facilities need investment, modernization and ongoing support. CD Healthcare Infrastructure focuses on last-mile healthcare sites, including primary care, specialty care, imaging and chronic disease management facilities. Its model helps fund, upgrade and manage these locations, allowing health systems to expand community access without taking on every property-related responsibility themselves. This approach aligns with the growing demand for accessible, lower-cost care settings.
Q3
Why Do Neighborhood Outpatient Facilities Matter?
Routine care becomes more convenient when patients can access services close to home. Neighborhood clinics can make follow-up appointments, diagnostic testing and specialty care easier to fit into daily schedules, particularly for people managing chronic conditions. Healthcare Service Providers in this area must think beyond the physical building. Factors such as location, visibility, maintenance quality and referral coordination often determine whether a facility becomes a valuable access point or an underused asset.
Q4
What Capabilities Should Buyers Review Before Choosing a Partner?
Health systems should evaluate how a provider performs under real operating conditions rather than relying only on presentations or lease discussions. Can it modernize facilities while keeping care uninterrupted? Can it coordinate repairs efficiently and communicate clearly with tenants? Healthcare Service Providers should be assessed on their healthcare expertise, capital planning, renovation capabilities and ability to manage facilities long after a project is complete. Real-world problem solving often reveals more than a polished presentation.
Q5
What Makes CD Healthcare Infrastructure’s Model Distinctive?
Small facility issues can quickly affect both staff workflows and patient experiences. CD Healthcare Infrastructure developed an in-house AI orchestrator that allows tenants to report maintenance requests by email, with issues automatically acknowledged, prioritized and routed to the appropriate team. The company has also demonstrated renovation expertise, including expanding Novant Health’s University City clinic from 28 to 35 exam rooms. This combination of real estate management, facility operations and healthcare-focused planning helps distinguish its approach.
Q6
How Can Healthcare Infrastructure Improve Patient Retention?
Patients are more likely to remain within a health system when care is convenient, familiar and easy to access. Outdated facilities, poor maintenance or inconvenient locations can encourage patients to seek services elsewhere. Healthcare Service Providers that strengthen last-mile infrastructure help health systems retain patients by making outpatient care more accessible and reliable. Modernized clinics, converted retail locations and responsive facility support all contribute to a better patient experience closer to home.
