Medre Library
The ownership decision
Rent, buy, or a structure in between, and how to read any third path.
Rent, buy, or something in between. Most practice owners get this decision handed to them backwards: a landlord's term sheet, or a banker's thirty-year spreadsheet that proves buying wins. Both are real. Neither was written for the practice you have right now.
This shelf is about the actual choice. When renting is the honest answer, even though it builds no equity. When buying pencils, and what to do in the years before it does. And how to read any third path, a lease with a purchase option, a sale-leaseback, ours included, without taking the seller's word for what it does.
The rule we hold to: a purchase option is only worth the paper it is on if five terms line up. Who sets the price, when the valuation happens, what conditions attach, what happens if you pass, and whether it survives a sale of the practice. Everything here is written so you can run that test yourself. Start with the piece that matches your timeline. If you are years from a decision, the math still matters now.
Everything on this shelf (2)
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.
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 one-page guide
The whole Medre model on a single page, plus the five-term test for any purchase option. Built to forward to a spouse, partner, or accountant.
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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