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Structural Elements is seeking experienced multi-unit operators as it pursues a goal of 125 clinics within five years. Its model separates facility ownership from care delivery, with licensed practitioners operating independent practices inside franchise-owned clinics. The company’s growth target is an ambition, not a confirmed forecast, and its current network is concentrated in Maryland and Wisconsin.
Structural Elements is seeking experienced business operators to expand its orthopedic wellness franchise, aiming for 125 clinics within five years. The Hagerstown, Maryland-based company’s model lets franchisees own and manage clinic facilities while licensed practitioners run independent practices inside them, separating business operations from clinical care.
The company’s network currently includes clinics in Maryland and Wisconsin and 11 micro-franchise practice owners, according to the source report. Structural Elements began franchising in 2016 and introduced its practitioner ownership model in 2019. It is now looking to attract operators with business and operations experience, including multi-brand, multi-unit owners.
Clinic franchisees handle facility and administrative functions such as scheduling, billing, marketing and front-desk operations. Licensed providers—including physical therapists, acupuncturists and athletic trainers—operate their own practices under three-year micro-franchise agreements. The company says it helps recruit and train those providers.
Structural Elements describes several potential revenue sources for clinic owners: provider space fees, recovery memberships through its (se) LAB offering, retail sales, workshops and corporate wellness programs. Its suburban clinics generally occupy 5,000 to 7,000 square feet. The source report lists a $65,000 initial franchise fee, reduced to $52,000 for each additional clinic under a multi-unit agreement, and an estimated total initial investment of $703,000 to $1.4 million.
A Split Between Ownership and Care
The franchise structure is designed to let operators enter the orthopedic wellness market without clinical backgrounds, while practitioners maintain their own businesses within shared facilities. That may appeal to established owners seeking another service category, but it also makes the model dependent on attracting and retaining qualified providers as locations grow.
Structural Elements says the setup can address provider turnover and underused treatment rooms by pairing facility ownership with independent practices. Those are the company’s stated aims; the source report does not provide independent performance data on provider retention, clinic profitability or patient outcomes. The expansion target therefore signals the company’s ambitions, not evidence that the model has already achieved them at scale.
The proposed clinics also require substantial capital. With estimated initial investment reaching $1.4 million, the opportunity is aimed at operators able to fund and manage sizeable facilities, rather than necessarily at individual practitioners seeking a low-cost start. Actual costs can vary, and prospective franchisees would need to review the company’s formal franchise disclosures.
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From Hagerstown to New Markets
Structural Elements’ flagship clinic opened in Hagerstown in 2013, before the company began franchising three years later. Founder and CEO Douglas Bertram developed the company’s treatment method through work in manual therapy, Chinese medicine and fascia-focused care, according to the source report. The company says providers across its network train in that method.
The brand frames its services as part of a wider wellness and longevity market, arguing that physical function and movement deserve greater attention alongside other aspects of aging. This is the company’s positioning, not a finding established by the source report. Structural Elements is registered to offer franchises in Maryland, Wisconsin and Florida, while identifying Maryland, Pennsylvania and North Carolina as near-term expansion areas.
Bertram described the company’s approach as a response to wellness businesses built mainly around current trends. “Our model has been refined over more than a decade with real patients and providers,” he said. He added that the company is looking for owners who share its commitment to patient-focused care. The remarks set out the founder’s rationale; they do not independently verify the method’s effectiveness.
“Our model has been refined over more than a decade with real patients and providers. Our mission now is to find owners who share our commitment to patient-focused care.”
— Douglas Bertram, founder and CEO of Structural Elements
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Growth Target and Costs Ahead
The source report does not specify how many clinics Structural Elements plans to open each year, how many franchise agreements are signed, or what milestones underpin its 125-location goal. The current count of clinics is also not stated, beyond the report’s description of the network as including locations in Maryland and Wisconsin.
It is unclear how much of the estimated investment range reflects construction, equipment, working capital or other expenses, and the report does not give financial results for existing franchisees. No independent evidence is provided on the model’s profitability, patient outcomes, practitioner retention or the effectiveness of its treatment method. The company’s stated benefits and expansion plans should be understood as company claims and objectives.
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Recruitment in Three States
Structural Elements says its near-term expansion focus is Maryland, Pennsylvania and North Carolina, and it is seeking experienced operators to lead that growth. The company’s next visible milestones would include franchise agreements, new clinic openings and provider recruitment in those markets; the source report does not give dates for those steps.
Prospective operators will need to evaluate the stated investment range, local demand and the availability of licensed practitioners. Whether the company can build toward 125 locations will depend on franchisee recruitment and the ability to staff and sustain clinics, but no specific timeline beyond the five-year target was provided.
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Key Questions
What is Structural Elements announcing?
Structural Elements is recruiting experienced franchise operators to expand its orthopedic wellness clinics. The company says it is aiming for 125 locations within five years.
How does its franchise model work?
Clinic owners manage the facility and administrative work. Licensed practitioners run independent practices within the shared clinic under three-year micro-franchise agreements.
How much does a Structural Elements clinic cost to open?
The source report gives an estimated total initial investment of $703,000 to $1.4 million. It lists a $65,000 initial franchise fee, falling to $52,000 for each additional clinic under a multi-unit agreement. Costs may vary, and prospective owners should consult formal franchise disclosures.
Where is the company seeking to expand?
Structural Elements identifies Maryland, Pennsylvania and North Carolina as near-term expansion areas. The report says the company is registered to offer franchises in Maryland, Wisconsin and Florida.
Is the 125-clinic goal confirmed?
It is a company growth target, not a confirmed outcome. The report does not provide an annual opening schedule, signed agreements or financial data showing how the company will reach it.
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