How We Master Our Medical Clinic Leases

Use Multiple Resources for Leasing:

  • Work with a broker to find the best location.
  • Search independently using platforms like LoopNet for available leases or properties.
  • Contact brokers or property owners directly for negotiations.
  • Hire a Real Estate Lawyer:
    • Ensure a good contract lawyer reviews all documents and terms.
    • Lawyers can catch hidden clauses like landlords demanding a percentage of profits.
  • Review All Lease Iterations:
    • Landlords may insert changes in later versions, so review every update carefully.
    • Key changes could include unexpected terms that affect profitability.
  • Understand Tenant Improvement (TI):
    • TI allowances are meant to cover build-out costs, but often fall short.
    • For example, a TI might offer $20 per square foot, but the real cost could be $50-$60 per square foot.
    • Anything beyond the TI is the tenant’s financial responsibility.
  • Learn from Experience:
    • A personal story shared: A clinic had a $150,000 TI but the total build-out ended up costing $300,000, leaving $150,000 for the clinic to cover.
  • Consider Second-Generation Space:
    • Rent or buy second-gen spaces, such as failed clinics or dental offices that already have a build-out.
    • These spaces require fewer renovations and are more cost-effective.
  • Negotiate Lease Terms:
    • Aim for shorter-term leases (3-5 years) to ensure flexibility for growth or relocation.
    • Ensure the lease includes a break clause in case the business needs to move or close.
    • A clause that allows for lease termination with a penalty is crucial.
  • Avoid Personal Guarantees:
    • Negotiate to avoid personal guarantees on properties.
    • Use your business as the signing entity so that in case of bankruptcy or relocation, you’re not personally liable for the lease.
  • Key Takeaway:
    • Always hire professionals, like a contract lawyer, to review lease agreements and ensure there are no hidden surprises.
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