Medical / Dental Office

Medical office cost segregation: $60K–$220K Year-1 deductions.

Specialty MEP — exam-room plumbing, gas lines, lead-lined imaging walls, sterile water — pushes medical office reclassification well above general office.

The 30-second answer

Medical office cost segregation reclassifies 30–38% of depreciable basis from the 27.5- or 39-year shell into 5-, 7-, and 15-year MACRS classes per 26 U.S.C. § 168 and Rev. Proc. 87-56. Under OBBBA's permanent 100% bonus depreciation (placed-in-service 2025+), reclassified components are deductible in year one. All credible cost-seg providers use the same federal framework — RSMeans 2026 cost data, MACRS classification, IRS Audit Techniques Guide (Pub 5653) compliance. What differs across property types is land-allocation share, FF&E weight, and material-participation eligibility under §469.

Property type Reclass to 5/7/15-yr Year-1 federal benefit Study cost
STR 20–28% $20K–$80K From $495
SFR 16–22% $15K–$50K From $495
Condo 14–18% $10K–$35K $495–$1,495
Duplex 20–25% $18K–$55K $995–$1,995
Fourplex 22–26% $30K–$90K $995–$1,995
Office 25–32% $40K–$150K $995–$2,995
Retail 26–32% $50K–$180K $995–$2,995
Industrial 16–24% $30K–$120K $995–$2,995
Medical office this page 30–38% $60K–$220K $995–$2,995
Mixed-use 24–30% $45K–$200K $995–$2,995
Multifamily 22–26% $25K–$80K $995–$1,995
Multifamily 5+ 24–30% $60K–$300K $995–$2,995
Triplex 22–25% $22K–$70K $995–$1,995
Restaurant 32–40% $80K–$280K $995–$2,995
ADU 20–28% $8K–$30K $495–$995
Commercial 22–32% $40K–$200K $995–$2,995
Data center 45–60% $600K–$3.4M $4,995–$29,995 sub-$25M; hyperscale from $49,995

Reclassification ranges from internal benchmarks across 4,000+ studies; Year-1 federal benefit assumes 37% bracket and full first-year usability. Study costs are Cost Seg Smart pricing — comparable engineering studies elsewhere range $5,000–$15,000+. See full provider comparison.

Real examples

What medical office cost seg looks like in practice.

Scottsdale dental practice — example property

Scottsdale, AZ · $1.9M

Dental practice with chairside imaging

Year-1 federal benefit
$168,400
Charlotte multi-physician medical office — example property

Charlotte, NC · $2.4M

Multi-physician primary care

Year-1 federal benefit
$208,800

Estimates assume 37% federal bracket and full first-year usability of the loss (active income offset or REPS). Your actual benefit varies with bracket, basis allocation, and CPA's treatment.

Good fit when…
  • Owner-operator physicians or dentists who built out the suite
  • Medical office buildings with significant specialty MEP
  • Practices with imaging suites, sterile-area plumbing, or specialty lighting
Skip it when…
  • ×Vanilla shell space leased to a medical tenant where you didn't pay for the build-out
Estimate

Run the numbers on your medical office.

Pre-set to Medical office defaults — adjust price + bracket to match your property.

Estimated Year-1 tax savings · Click to order →
$47,175
on $127,500 of accelerated deductions
Want this in writing for your CPA? Get a 1-page analysis →
5-yr15-yr27.5/39-yr
Study cost
$1,995
ROI on study
24×
Delivery
< 1 hour
Order my study — $1,995
Estimate based on RSMeans 2026 cost data and IRC §168(k). Your actual result varies with property age, condition, and basis allocation.
Regulation references

The rules that govern medical office cost segregation.

  • Real estate professional status (REPS) — the 750-hour and 51% tests under 26 U.S.C. § 469(c)(7), and the seven material participation tests under Treas. Reg. § 1.469-5T. Required to offset W-2 income with long-term rental losses unless the property qualifies under the STR loophole.
  • Form 3115 (catch-up depreciation) — how to apply cost segregation to a property placed in service in a prior year. Full § 481(a) catch-up adjustment, automatic change-number 7, no IRS user fee.
  • Treas. Reg. § 1.469-1T — full reference — all six (A)–(F) exceptions that reclassify a rental as non-rental for passive activity loss purposes.
  • Regulations hub — full canonical reference for all cost segregation regulations.
  • irsdepreciationrules.com — companion plain-language reference for the underlying IRS depreciation statutes (operated by Cost Seg Smart).
Medical office pricing

$995–$2,995 · delivered in under 1 hour.

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