As a tenant renewing your lease, you should also expect to be treated at least as well if not better than any prospective tenant, and this includes you being provided representation paid for by the landlord. At CARR, we represent thousands of healthcare providers ever year with their lease renewals and the landlords pay the commissions.
The same concept is true when comparing a healthcare practice to a national company or an occupier of a larger office or retail space. Healthcare providers deserve to be treated as fairly as any retail franchise or concept, or any other office space tenant. Healthcare providers have as high if not higher of a success rate compared to any national retail tenant or office space user, and deserve the same level of respect.
At the end of the day, this is not your battle to fight. Your role within a lease renewal is to understand your worth and value in the transaction, and then stand by your agent and allow them to advocate for you and protect your interests. Let your agent work for you without your landlord intimidating you into submission and going it alone.