Structural Elements Franchise Targets Maryland, Virginia, North Carolina

Bertram said the business separates the owner's role from the provider's role. "The operator we want has already run businesses and knows how to run them well," he said. "The providers we want are exceptional at care and tired of managing everything around it."

Chief Development Officer Patti Rother, who has brought other brands into franchising, said she joined the company because it met three criteria: a founder who has done the work, a model that holds up under scrutiny, and care that changes outcomes. "I believe in this approach to wellness enough to stake my name on it," she said.

The 2026 Franchise Disclosure Document invites operators in Florida, Texas, Colorado, Georgia, North Carolina and Virginia to begin conversations. Structural Elements currently operates across six disciplines, including physical therapy, acupuncture, athletic training and massage therapy.