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Commercial real estate for healthcare practices can quietly affect your profit margins, and most group practice owners underestimate how much is at risk. In this episode of Your Group Practice, Dan King talks with Colin Carr, founder and CEO of CARR, to explore how smart real estate decisions can protect your profits and bolster your long-term strategy.

Colin’s firm exclusively represents healthcare tenants and buyers, never landlords, and has helped thousands of practices across all 50 states negotiate better lease and purchase terms. He explains why real estate is usually your second-largest expense after payroll, and how even a few dollars per square foot can add up to hundreds of thousands of dollars over the course of a lease.

You’ll hear practical guidance on:

  • Why group and mental health practices routinely overpay on rent
  • The difference between “average” lease terms and truly favorable terms
  • How to think about renting vs owning for your practice, and when ownership actually makes sense
  • What specialized healthcare real estate advisors do that general brokers (and DIY practice owners) often miss
  • How to approach financing, including lenders who understand healthcare and may offer 100% financing in the right scenarios
  • Why owning your building can significantly increase your practice’s valuation and exit options

If you’ve ever signed a lease based on your gut feeling or just accepted the asking rate, this conversation will give you a clear plan to improve next time and to consider ownership as a serious wealth-building option.

Transform Your Group Practice

Actionable insights for practice owners and clinicians who want to lead, grow, or exit with purpose. This is the podcast shaping a stronger mental health system — one practice at a time.

About the Host

Dan King is a lawyer turned private equity founder with a passion for fixing burnout in mental health. With a background in M&A, Shark Tank deals, and psychology, he now leads Fireside Strategic — investing in group practices that put people first.

  • LinkedIn: linkedin.com/in/danmking
  • Website: firesidestrategic.com

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Chapters

1. Ep25: Lease vs own: Colin Carr on commercial real estate for mental health practices (00:00:00)

2. Introduction to Healthcare Real Estate (00:01:00)

3. Negotiating Real Estate Leases (00:04:35)

4. Renting vs. Owning Real Estate (00:06:09)

5. Mortgage Qualification for Owners (00:14:44)

6. The Value of Owning Real Estate (00:20:26)

7. Closing Thoughts and Personal Life (00:24:47)

25 episodes