Medre Library
Expansion and site selection
Second locations, outgrown space, and where to plant the next flag.
Growth and real estate arrive at the same moment and get decided separately, which is how practices end up with a second location that doubles their fixed costs before it doubles their revenue. This shelf puts the two decisions back in the same conversation.
It covers the honest sequence: when the walls are the real constraint and when they are just the symptom, whether the fix is a renovation, a relocation, or a different deal on the building, and how to weigh a second site against the risk it adds before the lease is signed, not after.
Expansion is where optimism is most expensive. The point here is not to talk you out of growing. It is to make the space decision as deliberate as the clinical one.
Everything on this shelf (2)
A simple way to think about expansion and real estate risk in the same breath.
A second location doubles your fixed costs before it doubles your revenue. How to sequence the space decision with the growth decision instead of after it.
Outgrowing your space: renovate, relocate, or restructure.
The walls are the symptom. How to tell whether the cure is a contractor, a mover, or a different deal on the building.
The one-page guide
How the Medre structure handles a second location without a second personal guarantee. Built to forward to a partner.
Bring us the document.
A renewal notice, a term sheet, a sale-leaseback offer, or just the town you want to practice in. Thirty minutes with the founders, real numbers, no deck. A straight answer if the answer is no.
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