By 2030—just four years from now—every single baby boomer will be over 65. That's 73 million Americans. 20% of the entire U.S. population.

The oldest boomers turn 80 in 2026. That's when healthcare utilization accelerates dramatically. By 2030, seniors will account for 37% of all national healthcare spending—nearly $2 trillion annually.

But here's what most people miss: boomers don't want to go to hospitals. They want convenient, accessible, consumer-friendly outpatient care. Wellness centers in mixed-use developments. PT clinics near their homes. Longevity clinics that feel more like spas than doctor's offices.

That demand is converging with three massive trends: longevity medicine going mainstream, mental health destigmatization, and private equity consolidating wellness franchises.

These aren't separate trends. They're feeding into each other, creating a once-in-a-generation opportunity in wellness real estate.

If you're a wellness provider planning your next location, or a landlord trying to figure out what tenants will actually pay rent, this is the shift you need to understand. Not two years from now. Right now.

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The U.S. population aged 75+ is growing by more than 1 million people per year—triple the rate of the past 40 years. Seniors will drive 31% more outpatient healthcare spending by 2030.

But boomers are living longer, healthier lives than any generation before. They're focused on healthspan, not just lifespan. They want wellness services that keep them active, mobile, and functional into their 80s.

Physical Therapy & Rehabilitation: PT market projected to grow 16% annually through 2030, driven almost entirely by aging boomers. PT clinics in suburban mixed-use developments see 30-40% higher patient volume than standalone locations.

Functional Medicine & Primary Care: Boomers will pay out-of-pocket for concierge primary care and integrative wellness. These practices need 2,000-3,500 SF, sign 10-15 year leases, generate consistent revenue with minimal equipment overhead. Landlords love them.

Orthopedics & Pain Management: Aging joints drive demand for orthopedic care, regenerative medicine (stem cells, PRP). High margins support premium rents.

What this means for real estate: The smart money isn't chasing every senior-focused wellness concept. It's targeting services boomers will use consistently, repeatedly, and proactively over the next 15-20 years. Properties with wellness anchors see higher occupancy, lower cap rates, and better financing terms. Healthcare REITs have outperformed all major property types, with medical office buildings maintaining 92.8% occupancy.

Three years ago, longevity medicine was niche biohacking. Today, it's going mainstream—fast.

The global wellness economy hit $6.8 trillion in 2025, projected to reach $9.8 trillion by 2029, with longevity services driving significant growth. The shift isn't about living longer. It's about healthspan—maximizing years spent in excellent physical and mental health.

Longevity clinics offer advanced diagnostics (biomarker analysis, genome sequencing, full-body imaging), personalized health plans, regenerative treatments (peptide therapy, stem cell infusions), and ongoing monitoring. Think concierge medicine meets biohacking meets preventive care.

Boomers—who've spent decades accumulating wealth and are now acutely aware time is finite—are willing to pay $5,000 to $50,000 annually for these services.

Space Requirements: 3,000-6,000 SF with private exam rooms, diagnostics space, treatment bays, consultation areas. Hybrid between medical office and high-end med spa.

Infrastructure: Specialized electrical for diagnostics. Medical-grade refrigeration for peptides. HIPAA-compliant design. But they don't need surgical-grade HVAC or complex plumbing like med spas, making conversion from retail or office more feasible.

Co-Tenancy Strategy: Longevity clinics perform best when co-located with complementary wellness services—PT, mental health, nutrition, fitness. That's the wellness hub model. Shared patient base, cross-referrals, higher traffic.

Lease Economics: These are stable, high-margin businesses. They sign 10-15 year leases, invest heavily in build-outs, generate revenue that supports $40-$60/SF rents in premium markets. Often backed by private equity or high-net-worth physician-owners—credit-worthy tenants.

The longevity space is still fragmented—mostly independent operators. But that's changing. Franchise systems are launching. Private equity is rolling up regional operators. By 2027, you'll see national longevity brands with 50+ locations.

Private equity has entered wellness in a massive way. The med spa industry alone has seen $3.1 billion in PE capital invested across 400+ transactions over the past five years.

Currently, only 3-8% of wellness businesses are PE-owned. The rest? Independent, single-location operators. That's a fragmented market begging for consolidation.

The playbook:

For real estate, this means:

Portfolio Deals: PE-backed wellness platforms want 10-20 locations in 3-5 years. They're not negotiating one lease at a time. They want portfolio deals—multiple locations with aligned terms, standardized build-out specs, economies of scale.

Longer Leases, Higher Credit: PE-backed wellness businesses are institutional tenants. They sign 10-15 year leases. They're credit-worthy. They invest heavily in build-outs. Exactly what landlords struggling with retail vacancies need.

Exit-Ready Real Estate: Independent wellness providers who want to sell to PE need clean real estate. Transferable leases. Predictable occupancy costs. No weird provisions that complicate acquisition due diligence. If you're a wellness provider planning an exit, your real estate needs to be structured correctly—before you go to market.

Franchise Real Estate: Franchise systems need consistent site selection criteria. Landlords who understand their space requirements and can deliver turnkey locations will dominate wellness CRE.

The consolidation wave is just beginning. Over the next 3-5 years, you'll see national wellness brands emerge in categories currently 90%+ independent. Position for that shift now.

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If you're a wellness provider:

If you're a landlord or investor:

The wellness real estate market is at an inflection point. Aging boomers are driving $2 trillion in outpatient spending. Longevity clinics are going mainstream. Private equity is consolidating wellness franchises.

For wellness providers, your real estate strategy will determine whether you scale successfully or get stuck in expensive, poorly positioned locations that drain cash flow.

For landlords and investors, wellness tenants are the most valuable tenant category in the market—if you know how to recruit them, support them, and structure properties around them.

The market is moving. The question is whether you're ahead of it or chasing it.

I'm offering complimentary Fractional CRE Officer discovery calls for health and wellness businesses that are expanding, acquiring property, or preparing for exit.

Whether you're opening location 2, negotiating a major lease, or planning long-term strategy, I'll help you:

✅ Identify the biggest risks and opportunities in your current portfolio
✅ Understand whether your next move should be lease or buy
✅ Structure deals that protect your cash flow and support growth
✅ Prepare your real estate for an eventual exit or sale

After 26 years in healthcare and commercial real estate, I know the operational pressures you face, the financial metrics that matter, and the decisions that separate businesses that scale from those that stall.

📞 Book a complimentary strategy session

🔗 Connect with me on LinkedIn

The Next Gen Dev - Wellness Edition is your weekly briefing on the strategies and frameworks that separate wellness businesses building the future from those stuck in the past.

Know a wellness provider who’s looking for space or stuck in a bad lease? Forward this email.