The Usual Way — No. 1
Employ them.
Put providers on payroll and you've taken on a staffing company: hiring, turnover, HR, and labor cost. You wanted a wellness business; you got a personnel department.
Structural Elements® — Clinic Franchise Opportunity
WELLNESS FRANCHISES HAVE A RETENTION PROBLEM.
WE BUILT ONE WITHOUT IT.
In a traditional wellness franchise, your top practitioners can walk out next month. Structural Elements® is built so they stay, because they're not your employees and they're not your tenants.
They're micro-franchisees of the same brand you own.
The result is a clinic the franchisor is structurally invested in keeping full.
Treating clients since 2013
Franchising since 2016
No healthcare background required
The Opportunity
Wellness is booming.
The way most wellness businesses are built isn't keeping up.
Structural Elements® is a whole-body orthopedic wellness clinic franchise where practitioners are micro-franchisees of the same brand you own. To understand why that matters, and what makes it different from every other clinic franchise in the category, start with how multi-provider clinics have typically been built.
There are really only two common ways to put skilled providers under one roof. Each has a flaw owners feel every month.
The Usual Way — No. 2
Rent to them.
Lease rooms to independent providers and you've become a landlord. Your income depends on full rooms and independent renters can leave any month, taking their clients with them.
Structural Elements® was built a third way.
The people who make your clinic valuable have every reason to stay.
Why Structural Elements®
A brand built by clinicians — and a model the industry doesn't have.
2013.
Treating clients in our original clinic.
2016.
Franchising since — a tested franchise system.
Proprietary.
A founder-developed, trademarked method, not a repackaged service.
Built different.
The only clinic model where practitioners are micro-franchisees, not tenants or employees.
Most wellness franchises sell you a service and a sign. Structural Elements® gives you a system — a science-backed method, a recurring-revenue ecosystem, and a structure engineered around the hardest problem in the category: keeping great practitioners in the building.
The (se)® Ecosystem
What you'd own: a complete wellness ecosystem.
A Structural Elements® clinic isn't one service under one roof. It's an ecosystem — a 5,000-7,000 sq ft space with six to eight treatment rooms. Here's what you'd own, and how it pays.
What you own
One business, four parts under one roof — and you run all of it without a clinical license.
01 / The Space
The Clinic & You.
You own and operate the clinic and run the business — the lease, the team, the books, the brand license. The day-to-day is yours.
02 / The Team
The Practitioners.
Licensed practitioners deliver the hands-on care as micro-franchisees of the brand — so the clinical work never sits on your shoulders.
03 / The Lab
Recovery & Performance Memberships.
A members-only recovery floor — red light, cryotherapy, infrared sauna, PEMF, and compression. (se)®LAB stands for Learn, Apply, Balance.
04 / The Studio
Movement & Medical Services.
(se)® Studio movement and Pilates training, plus physician-guided medical services.
Where the revenue comes from
Four revenue layers — recurring at the core, additive on top — so no single one carries the clinic.
The recurring core
Predictable, month after month
01
Recurring · B2B
Practitioner & administrative services.
The platform layer — and the structural advantage. Practitioners pay into the brand for the systems, support, and patient flow that keep them in your rooms.
02
Recurring · B2C
(se)®LAB recovery memberships.
The membership layer — predictable monthly revenue from recovery memberships that bill on autopilot.
Additive on top
Upside on every visit
03
Transactional
Retail & branded products.
Apparel, orthotics, training tools, and supplements — sold at the front of house on every visit.
04
Elective
Studio & expansion offerings.
The optional growth lever — added services and space for owners who want to scale beyond the core clinic.
Note: this section describes revenue structure, not financial performance. Specific results depend on many factors; the Franchise Disclosure Document does not contain a financial performance representation.
The Method
We don't chase symptoms.
We restore the structure.
Pain rarely starts where you feel it. Structural Elements® treats the body as one connected system — and goes after the true source of dysfunction, not just the spot that hurts.
Our founder, licensed acupuncturist Douglas Bertram, developed a proprietary body-mapping method that locates the adhesions in connective tissue that form throughout every region of the body and quietly pull it out of balance. We release them, manually restore alignment, and prescribe the self-care that holds the body there. The result is a body that works the way it was built to.
Care is delivered through a deliberate blend of Eastern and Western modalities — manual therapy and soft-tissue work, acupuncture and dry needling, recovery and performance science, lab testing, health coaching, and physician-led longevity care. Proven approaches, working as one system.
Endurance athletes and active adults. People rebuilding after injury. Anyone who wants a body that functions the way it was designed to. Structural Elements® is for the body that has more to give.
Patients · Athletes · Believers
"Structural Elements® gave me my life back. After two herniated discs, I felt stuck, until (se)® created a plan that rebuilt my strength and confidence. I recovered faster than I had imagined, and now I feel stronger than ever."Zach Tillman. (se)®LAB member
"I'm headed into my 14th year as a starting NFL lineman. (se)® has kept me playing at an elite level since I was drafted. The fact that they look at the whole body and don't just chase symptoms has contributed significantly to the longevity of my career."Kevin Zeitler. NFL Offensive Lineman
"I've trained and recovered in some of the top facilities across the country, but none compare to what Structural Elements® brings to the table. This place is a game-changer — I'm seriously considering opening my own franchise because I'm inspired by the work happening here."Miles Williams. Professional Baseball Player
Built for Owners
You're the owner. You're never on your own.
Whether this is your first franchise or your fifth, the work of opening a clinic is the same — and none of it falls on you alone.
Protected territory.
A designated area built around a population of roughly 150,000.
Site selection & build-out.
Location guidance plus a designated design and construction partner.
Practitioner recruiting.
The franchise team helps source and place the micro-franchisees who staff your clinic.
Owner training.
A structured owner and pre-opening program at our headquarters.
Marketing systems.
Brand-building support, local marketing playbooks, and a national platform presence.
Technology & ongoing support.
A ready-to-run tech stack, plus operational guidance and continuing education.
The Investment
What it takes to begin.
Total Initial Investment
$703,450–$1,458,815
Initial Franchise Fee (included)
$65,000
Area development agreements are available for owners who want to build multiple clinics over time. When we talk, we'll walk you through every line of the investment — and what's behind it.
Request Franchise InformationThe Founders' Story
Two clinicians. One conviction.
Structural Elements® began in Hagerstown, Maryland, with founder Douglas Bertram — a licensed acupuncturist with a master's in Traditional Chinese Medicine — and the body-mapping method he built to treat the source of dysfunction, not just the symptom. He was joined by Jason Knicley, a Doctor of Physical Therapy, and together they fused two disciplines most patients are forced to choose between.
What began as one clinic became a system — and then a way for owners to bring whole-body wellness to their own communities. That's the opportunity in front of you now.
FAQ
Questions, answered.
No. Clinic owners are operators and investors. Licensed care is delivered by micro-franchise practitioners; your role is owning and running the business.
The Structural Elements® model is designed specifically to solve that question. Most states have corporate-practice-of-medicine rules that prevent non-clinicians from owning a business that provides medical care. Because your practitioners are independent micro-franchisees and not your employees, the clinical-care side and the business-ownership side stay properly separated. You own the clinic. They own their practice. The model was built around this.
Not at all — a franchise is built precisely for that. You step into a proven system with training, established standards, and ongoing support. First-time owners are welcome and fully supported.
In a suite business, you lease rooms to independent renters and absorb the risk of empty space. Here, practitioners join your clinic as micro-franchisees of the same brand — trained, committed by agreement, and recruited with the help of the franchise team. It's a clinic you're helped to staff, not rooms you hope to fill.
You're not on your own. The Structural Elements® franchise team helps recruit and place trained micro-franchise practitioners — and helps again if one ever moves on.
The total initial investment ranges from $703,450 to $1,458,815, including a $65,000 franchise fee. Full detail is provided in our Franchise Disclosure Document.
Yes. Area development agreements are available for owners who want to build multiple clinics over time.
Each clinic is granted a designated area built around a population of approximately 150,000.
Typically four to eight months from agreement to opening, depending on site selection, build-out, and training.
Request Information
Build something that helps people — and is built to last.
Tell us a little about yourself and a member of our development team will reach out to you directly — within one business day.
Your information is kept private and is never sold.
A team member reaches out directly — within one business day.
A request for information only — not an application.
We respect your privacy. Submitting this form is a request for information only — it is not an application or an agreement.