Three months ago, a chiropractor called me. She'd just signed a 10-year lease. Six weeks in, she realized the space was wrong. The landlord had verbally promised parking modifications that never materialized. The zoning allowed "personal services" but not "healthcare services"—which are different in her city. Her build-out came in 40% over budget because the electrical panel couldn't handle her equipment.

Total damage? $180,000 in unexpected costs in the first year alone. Locked in for nine more years.

She's an incredible clinician. Her patients love her. But she'd never negotiated a commercial lease before. She didn't know what to ask for. She didn't know what she didn't know.

I see this constantly. Med spa owners, PT operators, functional medicine practitioners—brilliant at patient care, drowning in real estate decisions they're not trained to make.

You didn't go to medical school to become a real estate expert. But when you're expanding, buying your building, or negotiating renewals, suddenly you're making six- and seven-figure decisions that will impact your business for the next decade.

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Most wellness providers think they have two options: wing it themselves, or hire a broker.

Here's the problem with winging it: you only make these decisions a few times in your career. Landlords do this every day. You're negotiating against professionals who've done this hundreds of times.

And Brokers? I am a Broker. But here's the truth: most brokers get paid when a deal closes. They're not getting paid to walk you through your entire real estate strategy. They're not analyzing whether you should lease or buy. They're not helping you structure your portfolio for an eventual exit to private equity.

A generalist negotiates rent; a healthcare-focused fractional CRE officer negotiates throughput. They transform your lease from a monthly expense into a tool that accelerates patient flow and drives revenue per square foot.

What you actually need is someone who thinks about your real estate strategically, holistically, and aligned with your long-term business goals—like a CFO for finances or CMO for marketing.

But you can't afford a full-time Chief Real Estate Officer. A seasoned real estate executive with healthcare expertise? That's $250,000 to $400,000 annually, plus benefits.

The fractional model solves that problem. You get enterprise-level expertise at a fraction of the cost—typically $3,000 to $8,000 per month on retainer, saving you 60-90%. The fractional executive market has exploded with 110,000 professionals now offering fractional services across finance, marketing, operations—and now real estate.

Think of it like a fractional CFO or CMO—same concept, different discipline.

Strategic Portfolio Management: You're not just thinking about your next lease. You're thinking about your entire real estate strategy over 3-5 years. Which markets make sense? Should you lease or buy? How does your real estate support your exit strategy?

Deal Structuring & Negotiation: Every wellness category has different infrastructure requirements. Med spas need specialized electrical and plumbing. PT clinics need specific flooring. Mental health practices need soundproofing and HIPAA-compliant layouts. A fractional CRE officer structures deals that work operationally—and negotiates terms that save six figures.

Build-Out Cost Management: Standard retail runs approximately $100-$200 per square foot. Healthcare spaces? $350-$800. That gap destroys budgets. A fractional CRE officer helps you understand true costs upfront, negotiate tenant improvement allowances, and manage contractors.

Lease vs. Buy Analysis: Should you lease or buy your next location? Buying can actually be cheaper—if you know how to structure it. A fractional CRE officer runs the numbers and shows you the real cost comparison over 10-15 years.

Compliance & Zoning Navigation: Medical vs. retail zoning. ADA compliance. HIPAA design standards. Getting this wrong costs months and tens of thousands in legal fees.

Exit Strategy Preparation: If you're planning to sell to private equity or franchise your concept, your real estate matters. Buyers want clean leases, transferable terms, and predictable costs.

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Lease Negotiation: A fractional CRE officer negotiated an additional $100/SF in tenant improvement allowances for a 3,000 SF med spa. That's $300,000 the landlord paid instead of the owner. The engagement cost $15,000. That's 20X ROI.

Site Selection: A PT clinic was about to sign a lease in a high-visibility retail center. The fractional CRE officer ran demographics and found the 3-mile radius was wrong for their target patient (too many renters, wrong age group). They found a location two miles away with better demographics and $8/SF lower rent. Over 10 years: $240,000 saved in rent, plus 40% better patient retention.

Build-Out Management: A longevity clinic budgeted $400K for build-out. The fractional CRE officer reviewed the scope, identified $120K in unnecessary infrastructure, and brought it in at $320K. Savings: $80K.

Portfolio Optimization: A 3-location chiropractic group was paying $28/SF, $35/SF, and $42/SF across three leases—all in the same market. The fractional CRE officer renegotiated during renewal, bringing them to $30/SF and $32/SF. Annual savings: $45,000.

That's real money. Not hypothetical. Actual dollars saved through better decisions.

Not every wellness business needs fractional CRE help. If you're operating one location with no expansion plans, you probably don't need it.

But you do if you're:

Most brokers and CRE advisors don't actually understand your business. They know real estate. But they don't know the operational realities of running a wellness practice.

They don't know that IV therapy clinics need specialized plumbing and medical-grade refrigeration. They don't know that mental health practices need soundproofing beyond standard office build-outs. They don't know that med spas need electrical capacity for equipment that standard retail spaces don't have.

When you work with a fractional CRE officer who has healthcare experience, they're not just negotiating lease terms. They're thinking about patient flow, operational efficiency, and how your space design impacts revenue per square foot.

I've spent 26 years in the healthcare industry. I know what works and what doesn't. I know what build-out costs should actually be. I know what landlords will move on and what's non-negotiable. I know how to structure deals that support your clinical operations, not just fill square footage.

One bad lease can cost you six figures. One poorly structured deal can limit your ability to grow. One missed opportunity to buy instead of lease can cost millions in long-term wealth building.

The fractional CRE officer model gives you enterprise-level real estate expertise without the $250K-$400K salary. You get strategic guidance, deal structuring, negotiation leverage, and ongoing portfolio management—all for 60-90% less than a full-time hire.

For growing wellness businesses serious about scaling, it's not just smart. It's essential.Let’s talk about your next location

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.

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