The second location is an operations decision before it is a real estate decision.
Advice for established practices adding space or opening another location: where to go, what to sign, and whether the numbers work before you commit.
What we advise on
- Site selection
- we assess catchment, referral geography, payer mix by area, and the drive times that decide whether patients actually come, and advise on where to look.
- Lease terms
- we review terms, escalators, tenant improvement allowances, and the clauses that matter three years in, and advise you before you sign.
- Operational readiness
- we advise on the staffing, systems, and credentialing the new address needs — which has its own lead time — and the order to do them in.
- Ramp planning
- we model what the new location costs monthly before it breaks even, so you see it before you sign.
What changes
The financial case gets built before the site search, not after a space is found and the decision has already been made emotionally.
Credentialing for a new address starts early, because effective dates rather than construction dates decide when you can bill.
How it is measured
- Cost per square foot
- against revenue per room.
- Room utilization
- at the existing location first.
- Time to break even
- for the new location.
- Ramp against plan
- monthly.
How it connects
We operate clinical space ourselves, which is why this page exists — see our own locations. That is evidence, not the offer: this function is about your space, not ours.
