Everything we know about
practice real estate, written down.
Ten guides built from the questions practice owners actually call us with: lease renewals, buying versus leasing, build-out allowances, valuation, expansion, and exit. No theory, no filler. Worksheets you can complete at your desk and checklists you can hand to your office manager.
- 10Guides & worksheets
- 69Pages of detail
- $0Cost, and no obligation
Ten guides, one download.
Each one stands alone, so start wherever your situation is today. Most owners begin with the readiness scorecard and work from whatever it exposes.
- 01 Lease renewal
The Lease Renewal Countdown
Lease renewal is the single transaction where practice owners lose the most money, and the cause is almost always timing rather than an unfair rent. This works an 18-month calendar backward from your expiration date, covers all eight negotiable terms instead of just base rent, and ends in a worksheet you complete before your first landlord conversation.
- 02 Lease vs. buy
Lease It or Buy It
Most owners decide between leasing and buying on the monthly payment, which measures the smallest part of the decision. This frames the honest comparison (a lease is a cost, ownership is a position) and lays it out as a worksheet you can finish in an afternoon.
- 03 Lease terms
15 Lease Clauses That Cost You
Every commercial lease handed to a practice owner was drafted by a landlord’s attorney to protect a landlord. That is the starting position, not a scandal, and it is negotiable more often than tenants believe. Fifteen provisions are itemized here, from uncapped operating-expense pass-throughs that cost thousands a year to assignment language that costs you the deal on the day you sell.
- 04 Valuation
What Is Your Building Really Worth?
There is no single number. The same building is worth one price to the doctor buying your practice, another to an investor who wants a long-term healthcare tenant, and a third to a user from another industry. This explains the three methods a defensible opinion of value has to account for, and which documents to gather so the work takes days rather than weeks. A full written Broker Opinion of Value from KLAS is a $997 flat fee, with no obligation to list afterward.
- 05 Build-out capital
Build It With the Landlord’s Money
A landlord will fund a meaningful share of your build-out, amortize it into your rent, and carry the risk on the shell, yet most owners take a fraction of what is available because they never ask correctly. This walks through the landlord’s own math, so the size of the ask becomes obvious, then covers how to make sure the allowance actually gets paid.
- 06 Site selection
The Site Selection Scorecard
You can change your team, your software, your fee schedule, and your marketing. Changing your address costs six figures and a year of momentum. Score every candidate site across forty evaluation points (two for strong, one for acceptable, zero for weak or unknown), and notice how often the site you liked second is the one that wins.
- 07 Construction
The Ground-Up Build Roadmap
Building is the primary option more often than owners expect, because inventory in the right location for a given specialty simply does not exist yet. Twelve stages from the first vision conversation to opening day, including the budget lines and financing options most owners learn about too late, starting with the rule that you never buy land before you know what you can build on it.
- 08 Exit & liquidity
The Sale-Leaseback Playbook
You sell the building to a third party and simultaneously sign a lease that keeps you in the space on terms you help write. The practice does not move and patients notice nothing; what changes is your balance sheet. This covers why owners run the play (a second location, a retirement package, or removing the building from a practice sale) and the central trade of future appreciation for present capital.
- 09 Expansion
Renovate or Relocate
When you outgrow the space you are standing in, the instinct is to renovate, because moving sounds harder. Run both sides honestly and the answer flips more often than owners expect: renovation costs are paid entirely by you, while relocation costs are frequently shared by a landlord who wants your tenancy.
- 10 Self-audit
Real Estate Readiness Scorecard
Practice owners track collections, production, case acceptance, and hygiene reappointment, but almost nobody tracks the second-largest fixed cost in the practice, or the document that governs it. Twenty-five questions across five areas: your document, your economics, your building, your growth capacity, and your exit readiness. About fifteen minutes.
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- All 10 guides, 69 pages, free
- No obligation and no sales sequence
- We represent the practice, never the landlord
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