Commercial real estate for healthcare practices
Overview
Nearly every healthcare M&A transaction has a real-estate side — lease assignment, lease renegotiation, sale-leaseback, ground lease, or outright building purchase. The build-out requirements for dental, veterinary, med spa, and physician practices are unforgiving: plumbing, HVAC, electrical, and infection-control specifications that need to be reflected in the lease, the build-out budget, and the title work. We structure the real-estate side of the deal to support the practice transaction, not to second-guess it after the fact.
What we handle
- Commercial real-estate purchase and sale agreements
- Lease drafting, assignment, modification, and renegotiation
- Sale-leaseback structuring (paired with practice sales)
- Title review, easement analysis, and zoning verification
- Tenant-improvement allowance negotiation and build-out provisions
- Personal-guarantee scope, security deposits, and landlord-protection terms
Common pitfalls we plan around
- Lease assignment terms that allow the landlord to extract a rent increase at change of control
- Build-out allowance language that doesn’t cover the regulated systems healthcare practices actually require
- Ground-lease terms that don’t match the long-run tenancy expectation of the practice operator
Our Process
How Can Our Team Help You to Reach Your Goals
01
Planning
You may be ready with a letter of intent or negotiating one at the time we step in. Key terms such as price, financing, and timeline should be addressed in this agreement. Planning for the deal’s structure and timing are key to a smooth transaction.
02
Negotiating
When dealing in real estate matters, it is important to address items such as who pays certain fees–buyer, seller, landlord, or tenant, and how to protect you from surprise future costs. In addition, there are very specific property concerns for healthcare professionals that our attorney is focused on addressing on your behalf.
03
Leases
A smooth real estate transaction is based on proper planning and timing of items such as surveys, appraisals, permitting, etc. Our attorney’s decades of experience will help you enjoy a smooth transaction on any real estate sale, purchase, or lease.