Medre

Medre Library

Leases and renewals

The documents practices sign, and the leverage hiding inside them.

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A renewal is the most one-sided negotiation most practice owners ever walk into, and they usually walk in late. Your landlord knows what moving would cost you: the buildout, the downtime, the patients who do not follow. For a medical practice, that single fact is most of the leverage in the room, and it is not on your side of the table.

This shelf is about changing that. When the renewal clock actually starts, which is roughly two years before the date you have circled. What leverage you still hold when relocating is not realistic, and how to use it without bluffing. And when the honest answer to a bad renewal is not a better renewal at all, but relocating, or restructuring toward owning the building.

Read this before you reply to a renewal notice, not after. The moves that matter happen early and quietly.

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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Nothing here is legal, tax, accounting, financing, or investment advice. Bring your attorney and accountant to anything you sign, including anything from us.