Lease Negotiations: Why Going It Alone Can Cost You

Christian Gile • August 28, 2025


Sharon Kingsley, a healthcare professional, starts her morning like many do—by checking her email. Between work messages and advertisements, one reminder makes her stomach drop: her practice’s real estate lease has less than two years left.


Since rent is the second largest expense on her profit and loss statement—and negotiations only come around every several years—Sharon feels the weight of the responsibility fall squarely on her shoulders. The stress lingers until she remembers she has dinner plans with her friends, Dr. Mark Steinbeck, who runs a hospital across town, and Dr. Jason Gould, recently named the county’s top dentist.


Over dinner, the conversation turns to leases.


“I’ve been trying to reach my landlord today,” Mark says, “to schedule negotiations. I even asked if he could recommend a broker, but Jason warned me that would have been a mistake. Apparently, the landlord’s broker represents the landlord, not me.”


“Really?” Sharon asks. “I usually handle negotiations myself, but it’s overwhelming. I was considering asking for help, but now I’m not so sure.”

Jason shakes his head. “That’s exactly what I used to think. But earlier this year I hired a broker for myself—someone who only represents doctors and tenants. They discovered my landlord was trying to charge me 30% above market rates. Without them, I would have never known. Those savings are worth thousands every year.”


Sharon’s eyes widened. “That could change everything. Last time, we couldn’t expand our practice because of cash flow. If I can save on rent, maybe growth is finally possible.”


“And the best part,” Jason adds, “is you don’t even pay for the broker. The landlord sets aside money for commissions—it’s already built into the lease.”


Sharon and Mark exchange looks of relief, amazed at how much they could have lost without proper representation.



Don’t Face Lease Negotiations Alone

While Sharon’s story is fictional, we meet medical professionals every day who are in her shoes. Negotiating your lease without fiduciary representation (someone looking out for YOUR best interests) can cost you time, money, and unnecessary stress.


At GILE Commercial Real Estate, we represent doctors leasing and buying exclusively. Our commitment is simple: we save you money, protect your interests, and give you peace of mind so you can focus on your patients.


When it comes to your lease, the stakes are too high to go it alone.

After graduating from the United States Air Force Academy in 1998, Christian served in the U.S. Air Force for 13 years in Texas, California, Arizona, and Colorado. After his service, Christian Gile founded GILE Commercial Real Estate specializing in medical real estate and investment services. Christian has personally negotiated over 3,000 Commercial Real Estate deals for his clients. Christian loves what he does, enabling him to produce extraordinary results; the evidence? It is in the wealth he has created for his clients.


Phone: (602) 980-3171


Email: christian@gilecre.com

Share

By Christian Gile September 2, 2025
Medicine rewards patience, not shortcuts. See how steady progress helps doctors grow thriving practices and achieve long-term success.
By Christian Gile September 1, 2025
Leadership is learnable. Discover why doctors’ training in process and precision makes them uniquely equipped to lead practices and teams effectively.
By Christian Gile August 29, 2025
Cap rates may sound complex, but they’re simple. Discover how they shape property value and why every medical professional should understand them.
By Christian Gile August 27, 2025
Negotiating a lease is more than lowering rent. Learn how TI, free rent, and rent reductions can deliver thousands in savings for your practice.
By Christian Gile August 26, 2025
Discover the hidden risks of dual agency in commercial real estate and why exclusive broker representation is key to protecting your interests.
By Christian Gile August 25, 2025
Discover what separates top brokers from the rest—and how expertise, negotiation, and industry knowledge protect your interests in real estate.
By Christian Gile August 15, 2025
“In the business world, the rearview mirror is always clearer than the windshield.” — Warren Buffett Recently, we sat down with an office manager—we’ll call her Susan—who was proud to share her recent win: she had just renegotiated her doctor’s lease and landed what she believed was a great deal . But as we peeled back the layers, the story changed dramatically. The Setup Susan had been managing Dr. Alex’s 2,000-square-foot medical office for several years. The space was functional, albeit a little dated. Dr. Alex had excellent credit, and their practice was stable. One afternoon, the landlord’s broker—let’s call him Mike—stopped by with a “special offer.” If Susan signed the lease renewal on the spot , they’d drop the rent from $25/sf to $22.50/sf over a new 10-year term. Susan was thrilled. A discount! No hassle! And the same location they’d grown comfortable in. But here’s the thing… Comfort Can Be Costly At first glance, a 10% rent reduction sounds like a win. But in this case, it was anything but. Let’s look at the numbers: Current market rates in Dr. Alex’s area had dropped by 25% since the last lease was signed. Vacancy rates in the area were up , giving tenants more leverage than ever. Susan’s new “discounted” rate of $22.50/sf? Still well above market , which now sat between $18–$19/sf . That means over the next 10 years, Dr. Alex is poised to lose: $86,000 in overpaid rent Around $22,500 in missed free rent (a common lease incentive) Around $30,000 in lost Tenant Improvement (TI) allowance for space upgrades Total loss: $138,500 — and that’s being conservative. And It Gets Worse... If Dr. Alex had taken advantage of standard negotiated incentives we regularly see for healthcare clients—like at market or below market rents, generous TI packages, and free rent—his total lost value could exceed $229,000 over the life of the lease. That’s not just lost money—it’s lost opportunity: Lost reinvestment into technology or team. Lost upgrades to the patient experience. Lost margin that could’ve doubled profitability year over year. The Cost of Going It Alone Susan made the best decision she could with the information she had—but here’s the truth: Real estate is not a DIY sport. Especially in healthcare, where every square foot carries clinical, financial, and branding weight. What could have protected Dr. Alex? Fiduciary Representation – Someone solely advocating for his best interest, not the landlord’s. Specialized Market Knowledge – A professional who understands both the local landscape and the medical tenant’s unique needs. The Bottom Line If you’ve poured years into building your practice, don’t let one contract quietly siphon away your profit. The right lease negotiation could mean hundreds of thousands in savings—and the difference between just surviving or scaling with confidence. At GILE , we help you see clearly now —so hindsight doesn’t come with a price tag. When you understand the market, know your leverage, and have someone truly advocating for your interests, the path forward isn’t just visible—it’s strategic. Want us to run a quick check on your current lease terms? Let’s make sure your “deal” is actually a win .
By Christian Gile August 13, 2025
Strategic lease negotiations can boost your healthcare practice’s profitability—real estate is more than rent; it’s a wealth-building tool.
By Christian Gile August 1, 2025
Finding the perfect space for your practice is just one piece of the puzzle—making sure you can finance it is just as important. In this post, we break down common loan options for medical professionals and why working with a healthcare-focused lender can make all the difference.