Success Stories

Fresenius Medical Care

Multiple Offices
Cresa Boston
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Client Objectives

Cresa and Fresenius Medical Care North America, a public company headquartered in Waltham, MA (“Fresenius”), developed a strategic partner’s relationship in 2008 for the delivery of Corporate Real Estate Services.  Fresenius occupies approximately 1,800 dialysis clinics in North America. In 2009 under a CEO-led initiative Fresenius established a goal to reduce its occupancy cost by $25 million within 9 months, engaging Cresa exclusively for this initiative. In late 2009, Fresenius and Cresa expanded its strategic partner relationship as their exclusive service provider for two of Fresenius Medical Services’ largest divisions.


  • Early Lease Renewal Initiative - $38.8 Million Reduction in Occupancy Costs Achieved - Cresa evaluated 500 dialysis clinic leases in 2009-2010 and successfully restructured 200 clinic leases which delivered P&L savings of $38.8 million in total occupancy costs for this initiative, surpassing Fresenius’ goal.
  • Lease Renewal Program - $38 Million Reduction in Occupancy Costs Achieved in 2009-2011 - Cresa provided Transaction Management Services for lease extension negotiations on 305 dialysis clinics over 2009-2011, and successfully achieved P&L savings of $38 million in total occupancy costs.
  • Best Practice Modeling - Cresa collaborated with Fresenius’ national Corporate Real Estate team to develop a customized, national best practice model, streamlining project implementation and delivery, process flow, reporting, approvals and project controls.
  • Lease Transaction Procedures Handbook - Cresa developed for Fresenius’ national Corporate Real Estate team a comprehensive Lease Transactions Procedures Manual custom-tailored for Fresenius encompassing Fresenius’ project process/procedures life-cycle.
  • Senior Leadership Recognition - Cresa delivery model contributed to Fresenius Senior Leadership recognition of Fresenius Corporate Real Estate’s team achievements in occupancy cost savings, productivity and process compliance improvements.


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