Answers to common questions about securing your practice's financial future with NextSite Consulting .
We help healthcare practice owners evaluate the financial and strategic implications of real estate decisions - relocating, expanding, or investing in new facilities. Our services include financial modeling, lease vs. purchase comparisons, and local market analysis to support your long-term growth and capital efficiency.
No. We are independent consultants focused solely on your best financial interests. We provide objective, data-driven advice before you engage brokers or lenders. We don't represent landlords or earn commissions, ensuring unbiased recommendations.
Like a fee-only financial planner , our revenue comes solely from fixed-fee engagements. We receive no commissions or referral fees from any third parties. This ensures our recommendations are 100% aligned with your best interests , free from transaction-based incentives.
We work exclusively with healthcare providers - physicians, dentists, specialists, and multi-provider groups - considering relocation, expansion, or facility upgrades. This includes solo practitioners to large multi-site organizations.
It's never too early to plan. We recommend engaging us 0-36 months before your intended move . Early engagement allows for comprehensive financial strategy development and avoids rushed decisions.
Not at all. Most clients come to us before looking. We help you define your financial needs, then model the costs and risks of leasing, buying, or building options. We can refer trusted professionals once your strategy is clear.
No. We don't perform site selection or direct project management. However, we help clarify financial and operational criteria for your site search and project scope. We provide a roadmap of professionals to engage, helping you avoid costly missteps.
Current economic factors like interest rates and inflation significantly influence real estate costs and financing. We model these impacts within your local market to show how they affect your occupancy costs, debt service, and profitability, ensuring a sound investment.
Healthcare construction involves unique financial challenges, including higher costs for regulatory compliance, specialized infrastructure for medical equipment, and specific HVAC needs. We provide detailed cost-benefit analyses and budgeting support to minimize unexpected expenses in your local project.
The shift to outpatient care and telehealth impacts real estate by influencing space requirements and patient flow. We help you evaluate the financial viability of smaller clinics or adapting existing spaces to support hybrid care models, ensuring your investment remains relevant and profitable within your local market.
We go beyond simple rent vs. mortgage. Our financial modeling calculates the comprehensive Return on Investment (ROI) , including equity accumulation, local market appreciation, tax benefits (like depreciation), EBITDA impact, and long-term exit value. You'll see the full financial picture.
We help you assess various financing options, including traditional bank loans, SBA loans, and specialty healthcare lenders. We analyze financial terms and debt capacity to help you secure the most advantageous financing structure for your project in your local market.
Our engagements are tailored but typically include:
We'll typically ask for practice financial statements (P&L, balance sheets), current facility costs, and your long-term practice goals. We'll guide you through the process to ensure we have the necessary data for an accurate financial model.
We offer fixed-fee consulting engagements based on project scope. We do not charge percentages, commissions, or hourly rates. This transparent pricing ensures our advice is always aligned with your interests.
Yes. We offer a complimentary introductory call . It's a no-pressure conversation to learn your goals and determine if NextSite is the right fit to provide the financial clarity you need.