Charlotte-based Cogdell Spencer Inc.is a fully-integrated, self-administered, and self-managed real estate investment trust that invests in specialty office buildings for the medical profession, including medical offices, ambulatory surgery and diagnostic centers. It''s partnership is with hospitals and physicians to create, implement, and manage healthcare real estate plans that support the providers healthcare delivery strategy. Cogdell Spencer develops investment real estate that brings physicians and hospitals into positive economic ventures. It is not a commercial real estate firm that happens to build and manage a few medical office buildings as a part of its overall business strategy, but rather, a healthcare company, which specializes in facility development and management.