In the rapidly evolving healthcare landscape, physicians and medical practices often face the dual challenges of maintaining high-quality patient care while managing financial stability. One innovative financial strategy that can provide liquidity and flexibility is the sale-leaseback transaction. This article explores how sale-leaseback arrangements work and the potential benefits they offer to physicians. What is…

Although tenants may feel good about having a renewal option in their lease, the truth is it’s typically drafted to benefit the landlord much more than the tenant. Tenants can often achieve much better terms if they understand the landlord’s intent behind a renewal option and how to execute a specific game plan to achieve…

Opening a medical office is a significant project that requires meticulous planning, strategic anticipation, and a dedicated commitment to delivering exceptional healthcare services. This guide will walk you through each critical step of the process, from defining your purpose and objectives to the construction and opening of your new facility. By using these steps as…

The medical office buildout process can seem like a mystery to those who have not gone through one. Having managed dozens of professional and medical office buildouts I thought I would take a few minutes and shed some light on the process and the timeline from initial concept to move in. My hope is that…

A commercial building permit is an official approval issued by the local building department that allows you to proceed with a construction project on your commercial property. It is intended to ensure that the project plans to comply with local regulations and building code. As a general contractor specializing in tenant improvements, I often get…

There are several different types of construction contracts used for contracting commercial construction services. But the two main types in use today are Lump Sum or Cost-Plus Fee contracts. This is not to be confused with construction delivery methods which include design-bid-build and design-build. I will talk about this in a future article but for…

In the traditional design-bid-build project delivery method, contractors only get involved in a project after the design has already been completed. Their ability to drive cost savings, provide constructability reviews and accelerate the schedule is severely limited under this model. By getting a contractor involved early addresses these concerns and will lead to real benefits…

When looking for a new location for your business, an important consideration should be the costs associated with the buildout of a potential space. A new shopping center located in a market with high growth and strong demographics will be attractive for a variety commercial and healthcare related tenants. These first-generation spaces can be delivered…

For many practices, one of the greatest assets they can own is the office that they work out of, which over time can be worth more than the practice itself. Owning real estate holds numerous advantages that extend beyond mere property ownership. The benefits range from financial security and wealth-building to personal fulfillment and stability. …