The Medre Library
Read the fine print first.
Everything we know about the ground under a practice: leases, buildings, guarantees, renewals, and the path to owning your own walls.
Written by a commercial real estate broker and a practicing physician. Plain language, tradeoffs left in.
Nothing here matches that yet. The library is young and stays narrow. Try a broader term, browse by situation, or bring us the question directly.
Choose your path
Start with the decision in front of you.
Pick your situation. Each one opens a page with everything we have written for it. This is the fastest way in.
New to this? Start with the whole model on one page.
The timeline, the premium, the written option, and the questions worth asking anyone. Built to forward to a spouse, partner, or accountant. One email, no drip.
The guides worth reading first.
The pieces we would hand a practice owner before any conversation. Longer, and worth the time.
Rent, buy, or wait. The real math for a practice owner.
You've seen the 30-year spreadsheet that proves buying wins. It's right, for people who aren't you yet. Where the math actually tips, and what to do in the years before it does.
Read the guide →GuideWhat a personal guarantee actually costs you.
The bank calls it standard. It's a claim on your house and on your next decision. What guaranteeing a commercial mortgage means before anything goes wrong.
Read the guide →ExplainerThe sale-leaseback, explained for practice owners.
What selling your building and leasing it back actually trades away, what the buyer is counting on, and the one clause that decides whether you can ever get the building back.
Read the explainer →Browse by topic.
Seven subjects, one shelf each. Pick a topic to open its page and see every guide, explainer, and checklist we have on it.
Recently added.
New to the library. Most readers should start with a situation or topic above.
Rent, buy, or wait. The real math for a practice owner.
You've seen the 30-year spreadsheet that proves buying wins. It's right, for people who aren't you yet. Where the math actually tips, and what to do in the years before it does.
What a personal guarantee actually costs you.
The bank calls it standard. It's a claim on your house and on your next decision. What guaranteeing a commercial mortgage means before anything goes wrong.
The sale-leaseback, explained for practice owners.
What selling your building and leasing it back actually trades away, what the buyer is counting on, and the one clause that decides whether you can ever get the building back.
How to tell whether a purchase option is real.
Five terms decide it: who sets the price, when the valuation happens, what conditions attach, what happens if you pass, and whether it survives a practice sale.
The renewal clock starts two years early. Here's the calendar.
What to do at 24 months, 18, 12, and 6, so the negotiation starts before your landlord knows it has.
When owning your first building is actually the cheaper move.
The cases where we'd tell you to skip us: real capital, a stable market, and a decade of certainty. How to know whether that's you.
Where to go next
Who writes this
Erika Christiansen, a licensed Colorado commercial real estate broker, and Steve Christiansen, MD, a practicing retina specialist and practice owner. Equal partners, investing in real estate since 2009. No ghostwriters, no content team.
Nothing here is legal, tax, accounting, financing, or investment advice. Bring your attorney and accountant to anything you sign, including anything from us.