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Steps To Follow In The Medical Office Leasing Process

Understanding Medical Office Requirements

Medical office space leasing goes beyond just locating the right commercial real estate. Physicians have to consider many other factors before making the final decision concerning the property. HPRG is a term used to refer to the real estate services involved in providing healthcare occupancies with various types of support needed for property selection through the lease signing.

It is different from ordinary office space tenancy, since medical offices need specific facilities for smooth operation. The needs of a general practitioner’s office will be very different from the needs of a diagnostics centre, dentistry, or any other specialist outpatient clinic. Recognizing these differences early on will allow for setting up proper property criteria.

Defining Location and Space Needs

It starts with establishing the functional needs of the practice. In most cases, the provider will evaluate their target clientele, distance from populated areas, availability of transport services, parking space and complementary healthcare facilities. While visibility is significant, accessibility and suitability of the place may matter more than location in a commercial setting.

The size of space is equally essential. The space required depends on the size of the consultation rooms, waiting areas, office space, treatment rooms, storage areas, and other facilities. In addition, the space should be easily accessible to physically challenged patients. A seemingly cheap building may turn out to be unsuitable because of its layout. It is always wise to evaluate the building’s structure and permissible usage of the land at an early stage to avoid wastage of money and time.

Evaluating Properties and Compliance

After identifying appropriate locations, evaluation cannot be solely based on rental costs and the physical condition of the property. Medical tenants may be required to evaluate the electricity, plumbing, ventilation, emergency exits, access requirements, waste disposal methods, and possibility to install special equipment. Each of these criteria may have varying degrees of importance based on the type of healthcare services provided. Various regulations may have an impact on property choice as well.

Based on different jurisdictions and the intended purpose of the practice, planning or zoning approval, occupancy permit, fire safety approval, access requirements, and registration for healthcare providers may be necessary. Approval of the property doesn’t mean that all intended clinical activities will be permitted. Thus, it is important to distinguish between the approval of the property and approvals which must be obtained by the tenant. Seeking advice from lawyers and architects who understand the rules can be helpful at this stage.

Negotiating Commercial Lease Terms

Upon identifying a suitable property, the next step would be to negotiate the lease. It must be noted that apart from the headline figure, there are many other factors which could contribute significantly to the total cost of occupancy. It may even become necessary to consider the lease term, since medical practices usually undertake substantial interior decoration work, equipment installation, and patient care facilities.

If the lease term is not long enough to justify the initial expenditure, then it would result in the necessity to relocate once again after some time. Amongst the other issues which could come under discussion in negotiations would be free fit-out period, escalation clause, permissible alterations, signs, assignment provisions, maintenance responsibilities, and termination provisions.

From Due Diligence to Signed Lease

Before signing, both parties should review the proposed agreement and confirm that the commercial aspects of the agreement are consistent with the agreement reached. Ownership of the property, power of the owner to lease, permitted use of the property, any pending obligations and approval requirements will have to be carefully considered. In addition, the final review must take into consideration the condition of the property at which point it is delivered, the extent of any landlord-funded work, the fit-out commitments of the tenant and when it will be possible to start the lease.

Building a Sustainable Tenancy

The best way to lease medical offices is through viewing property selection, regulatory considerations, finance planning, and negotiation as interrelated processes. Following such a process will help healthcare organizations ensure that their current requirements do not hinder their growth and sustainability in the future. In this context, HPRG is part of the wider discussion on real estate support, but a successful lease depends on choosing the right property, negotiating fair terms, and checking all important details.

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