Structural Elements

- Ownership Requirement
- Full-time
- Business Type
- Franchise
Modern Orthopedic Wellness, Redefined
Own a multi-revenue wellness clinic where licensed practitioners deliver hands-on care as micro-franchisees of the same brand.

Brand overview
Structural Elements® is a one-stop shop for modern orthopedic wellness, bringing hands-on treatment, movement, and recovery together under one roof. Founded in Hagerstown, Maryland by Douglas Bertram, a licensed acupuncturist with a master's in Traditional Chinese Medicine, the brand developed a proprietary body-mapping method to treat the source of dysfunction rather than just symptoms. Joined by Jason Knicley, a Doctor of Physical Therapy, the two fused Eastern and Western disciplines into one unified system. Structural Elements® has been treating clients since 2013 and franchising since 2016.
Availability
We are currently accepting inquiries in these states:
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Why choose Structural Elements
Owners avoid the staffing and retention problems of traditional wellness franchises because practitioners join as micro-franchisees committed by multi-year agreements, trained in a proprietary method, and recruited with the franchisor's help.
The model complies with corporate-practice-of-medicine rules, allowing non-clinicians to own a wellness clinic without a healthcare background.
Four layered revenue streams — practitioner services, recovery memberships, retail, and studio offerings — create recurring revenue the salon-suite model was never designed to capture.
Area development agreements are available for owners who want to build multiple clinics over time.
Investment Requirements
Total investment
$703,450–$1,458,815
Cash Required
$440,000
Franchise fee
$65,000
Royalty fee
8% of Gross Receipts or a minimum monthly royalty of $500
Ad fund %
4%
Total units
3
Financing available
No financing offered
Real estate required
Yes
Growth Trends
Training & support
A structured owner and pre-opening training program is held at the franchisor's headquarters.
The franchise team helps source, recruit, and place the micro-franchisee practitioners who staff your clinic.
Site selection guidance is provided along with a designated design and construction partner.
Owners receive brand-building support, local marketing playbooks, and a national platform presence.
A ready-to-run technology stack is provided, along with ongoing operational guidance and continuing education.
Ideal candidate
Operators and investors — including first-time franchise owners — who want to own and run a wellness clinic without needing a healthcare or clinical background. The model is built for non-clinicians who manage the business side while licensed practitioners deliver care. Area development agreements are available for those who want to build multiple clinics over time.
Structural Elements® offers a proven path into the growing wellness industry with a model designed for non-clinician owners and a revenue structure that goes beyond what traditional wellness franchises can capture. If you are ready to explore this opportunity, the franchise team is available to walk you through the details and next steps. Join the movement redefining human performance.
