Property and Real Estate
Lease structure, owning the building, location analysis, build-out costs, and the real estate decisions that affect practice economics for decades.
Real estate decisions have multi-decade implications for practice economics. The lease you sign at startup affects margins for ten years. The buy vs. rent decision affects retirement planning. This path covers the property and real estate framework for clinic operators.
The path, in order
Location Analysis for an Independent Clinic
How to evaluate potential clinic locations financially. Demographics, competition, lease economics, and the tradeoffs between location quality and rent burden.
Read this postZoning Considerations for Healthcare Clinic Locations
Zoning rules that affect healthcare clinic locations, the differences between commercial and medical zoning, and the diligence required before signing on a space.
Read this postClinic Lease Negotiations: What Operators Should Know
The negotiation points that matter most in healthcare clinic leases. Base rent, escalations, renewal options, and the leverage operators have during negotiation.
Read this postCommercial Lease Clauses That Matter for Healthcare Clinics
Renewal options, exclusivity clauses, demolition clauses, and provisions that protect the practice from landlord changes. The clauses that affect long-term practice economics.
Read this postTenant Improvement Allowance for Healthcare Clinics
How TI allowances work, what they cover, how they're recovered through lease rates, and how to negotiate them effectively for healthcare clinic build-outs.
Read this postCommercial Lease Assignment and Subletting for Healthcare
What happens to your lease if you sell the practice or need to move. Assignment rights, subletting provisions, and the lease flexibility that affects practice exit options.
Read this postRent as a Percentage of Revenue: Healthcare Practice Benchmarks
What healthy rent ratios look like across specialties, what to do when rent runs high, and how to think about rent burden when evaluating locations or lease renewals.
Read this postClinic Lease Renewal: The Buy vs. Lease Decision
When the lease comes up for renewal, the buy vs. lease decision becomes real. The financial framework for evaluating commercial real estate ownership against continued leasing.
Read this postOwn vs. Rent the Clinic Building: Commercial Mortgage Considerations
How commercial mortgage financing works for healthcare practice buildings. The capital requirements, financing structures, and long-term economics of practice real estate ownership.
Read this postTools for real estate decisions
The Buy vs. Lease Calculator models the rent-vs-own decision with Canadian semi-annual compounding and TI allowance handling. The Cost Estimator helps you size build-out costs.
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