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FRANCHISE RESALES

Buy a Structural Elements Franchise

Structural Elements® is a cash-based orthopedic wellness franchise built around the proprietary (se)® Treatment, a fascia-focused method that assesses and treats the body as a connected structural system rather than addressing isolated symptoms. The brand was founded in 2009 by Doug Bertram, a manual therapist and licensed acupuncturist who opened the first self-funded clinic in 2013 and still leads the company as CEO.

Clinics operate as one-stop orthopedic wellness centres, combining manual therapy with services such as acupuncture, massage, IV therapy, assisted stretch, movement training, cryotherapy and health coaching. The model uses two franchise types that work together: brick-and-mortar clinic owners provide the location, brand and operations, while licensed providers operate as micro-franchises leasing treatment space inside those clinics.

Clinic owners build recurring revenue through memberships, provider rent and retail, while the cash-pay structure keeps the business outside insurance billing. Structural Elements® is an early-stage national franchise expanding into newly opened development territories, with every provider trained and certified in the (se)® System.

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Why buy a Structural Elements Franchise?

Buying a Structural Elements franchise offers entry into the growing cash-pay wellness category with a differentiated clinical method that is hard for independent operators to replicate. The proprietary (se)® System gives owners a trained, certified provider network and a defined treatment protocol, rather than a loose collection of unrelated wellness services.

The two-tier structure is the model’s main draw: clinic owners earn from memberships, retail and rent paid by provider micro-franchises, spreading revenue across several streams and reducing dependence on any single service. Operating on a cash basis removes insurance-billing overhead, and the brand positions the clinic as a largely employee- and provider-staffed business suited to owners who prefer to manage rather than deliver care personally. Day-one marketing assets, an established brand and shared operating systems support local patient acquisition.

Structural Elements Franchise Costs & Information

Based on 2025 data reported in the 2026 FDD

  • Brand Profile

    • Year Founded

      2013

    • Franchising Since

      2016

    • New Startup Cost

      $11,116 – $23,250

    • Avg. Resale Price

      Contact us for details

  • Franchise Fees

    • Initial franchise Fee

      $2,500

      for new territories

    • Transfer Fee

      25%

      of then-current Micro-Franchise Fee or $625, whichever greater

    • Royalty Fee

      8%

      of Gross Revenue

    • Marketing Fee

      Up to 2%

      of Gross Receipts per month

  • Unit Performance

    • Total Units *

      10

    • New Units Opened *

      2

    • Units Transferred *

      0

    • Avg. Unit revenue *

      $176,077

    * Based on 2025 data reported in the 2026 FDD

Structural Elements – Additional  Information

  1. Training & Support

    Franchisees receive certification and training in the proprietary (se)® Orthopedic Wellness method, structured as 20 hours of classroom training and 12 hours of on-the-job training, with every provider in the network trained to a unified standard. Ongoing support covers operations, quality control and marketing, including day-one marketing assets, web presence and social-media support, plus shared operating systems across the network. Buyers of an existing Structural Elements clinic should confirm what transfer training and (se)® certification the franchisor provides to incoming owners and any provider micro-franchisees already in place.

  2. Ideal Owner

    Structural Elements suits two profiles. Licensed healthcare providers such as chiropractors, physical therapists, acupuncturists or massage therapists who want clinic ownership or a cash-based practice fit the provider and owner-operator paths. Entrepreneurs and investors without a clinical background also fit the brick-and-mortar model, which centres on managing hourly staff and provider relationships rather than delivering treatment. Owners should be organised, comfortable overseeing memberships and a provider roster, and motivated to build local awareness for a premium, out-of-pocket service.

  3. Recognition & Awards

    Structural Elements has built recognition primarily through its proprietary (se)® Treatment and its founder, Doug Bertram, a manual therapist and acupuncturist with more than 30 years in the field who is a frequent guest on health, wellness and franchising podcasts. As an emerging franchise, its profile rests on clinical differentiation and brand-building rather than long-standing franchise-industry awards. For resale buyers, brand-level recognition should be weighed alongside the specific clinic's local reputation, patient reviews, referral sources and community visibility.

  4. Industry / Market

    Structural Elements operates in the US wellness market, estimated by McKinsey at roughly $480 billion and growing 5-10% a year, within the cash-pay segment that sits outside traditional insurance. Demand is supported by musculoskeletal conditions, which affect more than a third of US adults and account for the largest share of chronic-care medical spending, alongside rising interest in proactive, root-cause care for pain and mobility. For resale buyers, local demand depends on a community's willingness to pay out of pocket, making clinic location and demographics important to review.

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