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.
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Every guide we've published — the clauses, the build-out, the purchase. No algorithm, no daily ticker. Just the writing a practice owner needs before they sign.
All published pieces
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.
Rent Escalations: Fixed, CPI, or Market — and What Each One Costs You
The escalator is a small number that compounds for the entire term. The structure matters more than the rate.
Base Year and Expense Stops: The Lease Setting That Quietly Resets Your Costs
One number buried in your operating-expense clause decides how much of the building's rising costs land on you — here's how it works and where it's negotiable.
The exclusive-use clause: keeping a competitor out of your building
The one clause that protects your patient base — and how to scope it so a competitor can't slip in on a technicality.
Personal Guarantees on a Medical Lease: When to Sign One, and How to Limit It
The clause that follows you home if the practice fails — and the four levers that shrink it before you sign.
How to read a medical office lease before you sign
Eight clauses decide whether the deal works for your practice or for the landlord. Here is what each one really means — and where the room to negotiate actually is.
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