Buying a Practice? The Lease Is the Deal Nobody Reads
When you buy a practice, you inherit its lease — and the real estate is often what makes or breaks the deal.
The Med Space Report
Seattle · healthcare real estate
Plain-English medical real estate education for practice owners in the Seattle area — leases, buying, and build-outs, and how not to get buried in your next deal.
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Opening a second location: the real-estate checklist before you sign
A sequenced, pre-signing checklist for practice owners taking on a second site — trade area, site, zoning, build-out, guarantees, and the exit.
Gross vs. triple-net: which medical lease actually costs you less
The rent number on page one rarely tells you what you'll actually pay. Here's how to compare lease structures on true occupancy cost.
Tenant improvement allowance: what a medical or dental build-out really costs, and who pays for it
The TI allowance is one of the most negotiable numbers in your lease — and for a clinic, it is often where the real money lives.
CAM and Operating Expenses: The Medical Lease Line Item That Quietly Costs the Most
Base rent is the number you negotiate. Operating expenses are the number that actually moves — here's how CAM works and where to push back before you sign.
What a tenant rep actually does — and why the landlord pays for it
On one side of a medical lease sits a listing broker and an attorney working every clause. On the other side, usually, sits no one. Here is what that gap costs — and why closing it typically costs the practice nothing.
Early Renewal: Why the Calendar Is Your Only Real Leverage
A landlord prices your alternatives, not your argument. Start late enough and you have none to price — here is when the window actually opens.
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