Negotiating Room to Grow in Your Clinic Lease
Expansion rights get priced like everything else in a lease. Here is what a ROFO, a ROFR, a fixed option, and a must-take actually give you, what each one costs, and how to match the expansion mechanism to your growth plan.
Your Neighbors Are Negotiable. Exclusive Use and Cotenancy.
The tenant mix when you toured is a snapshot in time. Three provisions decide who operates around your clinic for the next decade, and all three are LOI-stage asks.
Your Landlord Can Make You Move. The Relocation Clause.
It reads like boilerplate: the landlord may relocate the tenant to other space in the center. A clothing store moves in a weekend. A clinic rebuilds its medical space, re-permits, and re-credentials the address. How to strike or box in the clause before you sign.
The Broken Brokerage Model: Why Commission Hurts Clinic Strategy
Healthcare founders often treat brokers as neutral guides. They are not always incentivized that way. Here’s where the model breaks and what to do instead.
LOI & Lease Negotiation: Protecting EBITDA, Exit Value, and Founder Equity
In healthcare real estate, the LOI is where founders and investors either protect EBITDA or commit to years of avoidable risk. Here are the seven lease terms that matter most.
Winning the Real Estate War: How Healthcare Startups Compete with "Big Credit"
In a market dominated by institutional giants, healthcare startups can’t win on credit alone. Discover strategies for overcoming objections from landlords.
What to Negotiate in a Healthcare LOI
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.