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 — industry-standard 2026 construction 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 From $495
Duplex 20–25% $18K–$55K From $795
Fourplex 22–26% $30K–$90K From $795
Office 25–32% $40K–$150K From $1,995
Retail 26–32% $50K–$180K From $1,995
Industrial 16–24% $30K–$120K From $2,495
Medical office this page 30–38% $60K–$220K From $1,995
Mixed-use 24–30% $45K–$200K From $1,995
Multifamily 22–26% $25K–$80K From $795
Multifamily 5+ 24–30% $60K–$300K From $1,995
Triplex 22–25% $22K–$70K From $795
Restaurant 32–40% $80K–$280K From $1,995
Vet 22–28% $45K–$175K From $1,995
ADU 20–28% $8K–$30K From $495
Commercial 22–32% $40K–$200K From $1,995
Data center 45–60% $600K–$3.4M $4,995–$54,995 (sub-$100M); $100M+ by proposal

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
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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 industry-standard 2026 construction 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

From $1,995 · delivered in under 1 hour.

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