12 Factors that point to the BEST practice location, #1 may not be what you think.

Apr 7, 2023

You might be surprised to learn that location is the #1 factor that ultimately determines a practice’s long-term success.  

Every Practitioner, Associate or Student should immediately determine if their current location will support its long-term practice growth goals; specifically, does the competition, demographics and overall market based on a detailed “Location Strategy” assessment realistically supports those goals and does your current building makes it possible to accomplish them?

How does one find the right location…or know if it’s right? 

It seems overwhelming.  In reality, determining the right location is both an art and a science.  It’s a science because it’s critical to have the right data presented in the right format.  It’s an art to be able to interpret the data in light of your practice stage, your practice goals, your family lifestyle and goals, the market in a given area and a host of other factors.

All of the above can be condensed into the term “Location Strategy”. 

Location Strategy is the most important factor of any practice Strategic Plan.  Why?  If you need help with any operational, systems, HR, management, clinical or technology issue, you can get advice quickly and help inexpensively (often free) from a multitude of distributors, lenders, consultants and other industry experts.

On the other hand, getting the Location wrong is the most costly decision you can make.  A poor location decision will have long term, exponentially detrimental impact on your income, practice value, estate and lifestyle.  Buying or leasing an office is usually a long-term commitment, and it is very difficult and expensive to extricate yourself if the location or lease is bad…not to mention an even harder task – recovering lost opportunity costs.

When most people think about “Location”, they often think of demographics. 

That’s fine, but there are many “Factors” that make up “Location Strategy”, all of which interact to build a story unique to each practitioner and practice.  All of the Factors have different contexts and application depending on your practice goals, a practitioner’s stage in life, whether you are starting up, doing due diligence on buying a practice, selling, stuck in a bad location or a bad lease, have stagnant growth, etc.

Various advisers, such as CPA’s, Attorneys, Commercial Brokers, Lenders, Distributors, Practice Brokers and more may all play an important role in evaluating Location Strategy data.  As the practice goes, so does the industry; everyone has a vested interest in making sure the Location Strategy is correct.

Here are the 12 “Location Strategy” Factors:


1. Demographic (Location) & Business Data

  • Current & 5 Year Forecast Demographic Data; Total Sales, Retail Sales, Number of Businesses and Number of Employees in an area.
  • This is a key for every existing or startup practice. You need to get a baseline of where you are today (it’s likely to have changed significantly) and understand where your area is going.
  • Don’t just settle for basic demographic information – evaluate detailed data for ethnicity, age breakdown by individual & income and much more.
  • One key – use census block data, avoid zip codes. Zip code data frequently includes irrelevant areas and excludes relevant areas because of the irregular shapes of zip codes.
  • Evaluate your area by both a radius and drive time (consider staggering the two if you want to compare two market areas).
  • Online demographic data is notoriously unreliable and incomplete, often with missing, out of context and obsolete data.

2. Competition/Practitioner to Population Market Saturation Evaluation

  • The most important factor to measure competition is the ratio of Practitioners to Population.
  • Ratios should be compared to market saturation standards by practice type (i.e. for General Practitioners, a 2,000:1 ratio is a saturated market).
  • This is a critical Factor; in certain situations, it can trump all of the other factors combined.
  • Online practice & practitioner data from Google searches or Maps is notoriously unreliable & incomplete – too much missing, duplicated, wrong and/or out of date data to be a reliable source for crucial business decisions.

3. Future Growth Potential of the Area

  • Growth Potential is typically determined by the Demographic data and other factors such as where people work vs. where people live.
  • For many practices, demographics and competition levels have changed during recent years without your knowledge, while you’ve been busy serving your patients.
  • It’s important you stop and evaluate to make sure the market is still what you thought it was and that it can still support your long-term goals.
  • Knowing this now gives you the most time to pivot before it’s too late (i.e. move, sell, add an office, etc.)

4. Existing Patient Dispersion (Where are they on a Map, Location, Drive Time Ranges):

  • For an existing practice, it is critical to understand where your patients really are.
  • For example, what percentage of your patients live more than 15 minutes (or you’re your reasonable market is) from your office? How does that impact your practice value and current marketing plan?
  • If you determine from looking at other Factors that you may need to move your office based on lack of growth opportunity or to take advantage of new neighborhoods or markets, what impact does that have on your current patient base?
  • How many patients might now or after a move have an excessive drive time and need extra attention?
  • If you are doing due diligence on a practice to buy, this is critical for practice valuation (purchase price), evaluating the patient retention risk associated with transferring goodwill to the buyer and planning post-purchase transition and marketing strategies.

5. New Patients

  • For any practice, are there neighborhoods or other defined areas that meet your desired demographic and drive time profile for focused marketing strategies?
  • If new patient growth has slowed or declined and you’re not meeting your goals, is there a way to expand your market by moving your practice or adding a satellite office?
  • Even if your practice is growing, should you be looking at other growth options to maximize your Location opportunity and your marketing ROI?

6. Building/Office Strategy

(This can vary widely based on practice goals, lease terms, etc. – some sample questions based on data from other factors)

  • Should you own or build a building or Lease (or renew a lease)?
  • When does your lease end? You need to start planning at least a year and a half in advance.
  • Are you in the optimal location for long term growth, or should you move?
  • If you move, how do you keep existing patients yet open new markets, etc.?
  • Does the long-term future growth potential support your long-term goals? If so, does your current space give you the room to accommodate the growth?  Is it worth remodeling when the time comes?
  • Should you add a satellite office or add a different specialty?
  • What is your building strategy: buy, build or lease?

7. Buy/Sell Evaluation/Valuation

  • See previous Factors for implications to buyers and sellers.
  • Every practice should have a Strategic Plan to maximize the practice value. Just because you don’t plan to sell, you never know when circumstances can change.

8. Specific Building Characteristics (Accessibility, Visibility, Signage, Parking, etc.)

  • How accessible is from major highways and major streets?
  • How visible is it from the road?
  • How large is the monument and building signage?
  • How much parking is available?
  • There are many other physical building factors that affect your practice success, and all must be carefully negotiated in lease or purchase agreements. Use experts.

9. Underserved Areas – Finding Markets & Areas with high Practitioner to Population Ratios

  • Data is showing that around many metro areas, there are still excellent pockets of opportunity – underserved areas with great income & equity growth potential – within a reasonable distance from metro areas. There are often pockets within metro areas.
  • If moving your practice or starting a new practice is part of your Location Strategy, finding the pockets of Underserved Areas between saturated markets provides you multiple options to consider.
  • The distances you use to compare locations will vary depending on your area – we typically recommend the following standard starting points: Urban areas use a 1-2 mile Radius/10 min Drive Time; Suburban 5/15; Rural City 10/20; Rural 25/30.
  • These baselines are often adjusted in real life evaluations and location searches to take highways, mountains, water, geographical or neighborhood boundaries, the size of the rural city, proximity to other markets and/or personal or family preferences into account.

10. Risk Detection, Avoidance & Mitigation

  • Location Strategy is all about using data to help avoid risk in the first place; but if it is detected and becomes a threat to achieving your practice goals, how do you evaluate what to do to mitigate it?

11. Lending/Refinancing

  • Based on the other Factors, is now the time to take advantage of the current low rates to start or buy a practice, upgrade equipment, buy a building, remodel, move, etc.?
  • Is it time to refinance existing practice or student loan debt? Use Location Strategy data to build a strong case.
  • Are market conditions right to add associates, add specialties or add offices to build practice value?

12. Strategic Plan

  • When is the last time you sat down and evaluated your current status – are you on track with your goals, do they need to change, have you been too busy to monitor what is going on around you?
  • Every practitioner should have a strategic plan for their life and for their practice.
  • The key aspect to both is Location Strategy.
  • Have you evaluated your practice location to see how viable it is and how it could be improved?
  • Use Location Strategy in conjunction with a great team of advisers – your CPA, distributor, lender, management consultants, marketing firm, attorney, practice broker, commercial broker and more. Location Strategy impacts every piece of advice they give you.  Make sure they incorporate this into their advice and that they work together for you to build your Strategic and Business Plan.

Again, the bottom line is this.

Every practice should determine immediately if their current location will support its long-term practice growth goals; specifically, does the competition, demographics and overall market based on a detailed “Location Strategy” assessment realistically supports those goals and does your current building makes it possible to accomplish them?

Click here to learn more about your market. Live Market Finder – Locate ™ Location Strategy Services (formerly Realscore) | Locate™ (locatestrategy.com)

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