The Cost of Capital: Why Your Lease is a Better Financing Tool than Your Cap Table
Real estate is likely the largest fixed expense on your balance sheet. Are you treating it as a monthly bill, or a strategic financing vehicle? Discover how to engineer your lease to protect your equity and maximize your launch liquidity.
Your Clinic’s Unit Economics: De-Risking Your Real Estate CapEx for Investors
The crucial guide for founders preparing to raise money. We dissect the 4 core areas—from market capture to CapEx variance—that must be flawless to unlock capital and prove your model is ready to scale.
🚨 The Anti-Kickback and Fair Market Value Pitfall: Why Free Space is a Felony Risk
Why your goodwill is a compliance risk. Many founders let referral partners use clinic space for "convenience"—but under the Anti-Kickback Statute (AKS), free space is illegal remuneration. We break down the "One Purpose" test, the felony penalties, and the non-negotiable step to achieve Safe Harbor protection: an independent Fair Market Value (FMV) appraisal for every use.
The Founder's Guide to the LOI: Mitigating Risk Before You Build
The most complex 5-page document you'll ever sign. Learn the 9 LOI clauses—from TI funding to assignment rights—that dictate your clinic's cash flow, opening timeline, and future sale price.
Capital Protection vs. Coordination: The Most Expensive "Savings" in Healthcare Real Estate
Managing your own healthcare buildout isn't a cost-saving measure—it's a tax on your focus and capital. Learn why the "Expertise Gap" leads to 25-50% project overruns and why integrated oversight offers a 5-10X ROI over DIY project management.
You Only Build Your First Clinic Once
First-time founders learn more in their first clinic buildout than they ever wanted to know about real estate development. The early decisions—programming, design standards, square footage assumptions, lease language, and code interpretation—shape every clinic they build afterward. This piece breaks down the most common pitfalls and how founders can set themselves up for success before the stress hits.
Healthcare Real Estate Has No Unicorns — Only Tradeoffs
Founders often assume healthcare will flex easily into office, retail, or industrial. It can — but every building comes with constraints: parking, code, infrastructure, and TI gaps. This piece breaks down how to evaluate those tradeoffs the right way early in the site selection process.
Collaboration Isn’t Comfort: How Real Alignment Speeds Up Healthcare Projects
Healthcare projects move faster when alignment happens early and teams stay candid through every phase. Real collaboration means facing friction together — and using it to build momentum.
More Human, Not Less: What Houston Methodist’s ‘Clinic of the Future’ Teaches Us About AI, Design, and Care Delivery
At this year’s Healthcare Design Expo, Houston Methodist demonstrated how thoughtful integration of AI, design, and operations can return time and focus to care teams. Their “Clinic of the Future” shows that when technology supports people instead of replacing them, healthcare becomes more human — and more effective.
The Healthcare Growth Algorithm: Why Smarter Beats Faster
Healthcare startups are burning cash on real estate. Learn how to scale smarter, not faster — and protect capital while building for growth.
Rite Aid Store Closures: Site Opportunities for Healthcare Conversion
Rite Aid closures are leaving healthcare gaps across communities. Here’s a searchable list of locations and how these sites can be reimagined into healthcare facilities that restore access and community value.
PACE Tenants Deliver the Stability Investors Want and the Impact Communities Need
For landlords and investors, PACE centers deliver something rare in today’s market: reliable tenants, predictable returns, and properties that improve the communities they serve. Learn why these healthcare operators are redefining long-term value.
From Seattle to New York: Reflections on NPA 2025
Three years ago, I attended my first NPA conference in Seattle. This year in New York, the tone felt different. The conversation has shifted from explaining what PACE is to proving what it can do.
Across every session, one theme stood out: to move from niche to necessary, PACE needs transparency, operational clarity, and policy support.
Spaces That Scale: How Design Becomes Your Most Visible Growth Strategy
Facility design is your most visible growth strategy. Here’s how scalable design builds trust, drives outcomes, and proves you can grow across markets.
Design That Works: How Care Team Efficiency Shapes Outcomes
Burnout and turnover are crushing healthcare teams. Here’s how smarter facility design keeps staff efficient, engaged, and effective.
Design That Builds Trust: Comfort as a Healthcare Strategy
Comfort is not a luxury in healthcare real estate. It’s a driver of engagement, trust, retention, and outcomes—across PACE, primary care, concierge, and fee-for-service models.
Design is Strategy: Why Investing in Your Healthcare Facility Pays Off
Your real estate isn’t just a cost center—it’s an engine for retention, outcomes, and enterprise value. Learn why in this guide to building a modern healthcare facility.
Why Most Healthcare Founders Underestimate Their Clinic Launch Timeline
Most founders think a new clinic is a 6-9 month project. This guide reveals why that thinking is a dangerous trap and what the true timeline looks like.
Why I Started Retained CRE: De-Risking De Novo Healthcare
After years of helping healthcare startups build and scale, I've launched Retained CRE to help founders avoid the "real estate snowball." I'm an operator, and I'm here to solve the real estate complexity so you can focus on building great care.
PACE Center Development: Precision & Purpose in Highly Regulated Builds
Unlock success in highly regulated healthcare real estate. This guide reveals why PACE Center development demands a unique blend of precision and purpose for compliant, high-quality care.