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Cost segregation for medical and dental building owners

In short

Clinical buildings carry more equipment-serving infrastructure than a typical office: dedicated circuits for imaging and sterilization, plumbing and vacuum lines to operatories, treatment-room casework. A study traces those costs to shorter recovery periods. Before committing, settle the self-rental question: if your practice leases the building from your own entity, the extra depreciation may be a passive loss your practice income cannot absorb.

Medical and dental at a glance

Building life
39 years
Reported reclassification
16% to 29%
Tenant build-out
Often QIP: 15-year straight line
Decide first
Self-rental and passive loss

Range is competitor-reported (Cost Seg Smart 2026 benchmarks), not a promise for any building.

What a study looks at in a clinical building

The question for each item is what it serves: the equipment and the practice, or the building.

Medical and dental components a study analyzes
Component How it is analyzed
Dedicated electrical to imaging, sterilization and dental equipmentWiring, panels and outlets that exist to serve the equipment can be personal property; general building power stays with the building. Allocated circuit by circuit, never by percentage.
Plumbing, vacuum and compressed-air lines to operatoriesLines serving dental chairs, sinks in treatment rooms and lab equipment are analyzed by what they serve. Restroom and general building plumbing is structural.
Casework, cabinetry and millwork in treatment and lab areasMovable or equipment-related casework can be 5- or 7-year; built-in items are weighed under the Whiteco factors.
Supplemental HVAC for equipment or a processMoves out of the building only when its sole justification is the equipment, for example dedicated cooling for an imaging room. Comfort cooling stays.
Parking, paving, site lighting, signage foundations, landscaping15-year land improvements for a freestanding building.
Interior build-out of an existing buildingQualified improvement property: 15-year straight-line and bonus-eligible, if placed in service after the building and not an enlargement, elevator, escalator or internal structural framework.
General principles, not conclusions for any building. The IRS guide singles out standard electrical percentages for in-depth review.

The self-rental issue, plainly

Many physicians and dentists own the building in an LLC that leases it to the practice. Under Treas. Reg. §1.469-2(f)(6), net rental income from property rented to a business you materially participate in is treated as non-passive. Net losses from the same rental are not given the same treatment; they stay passive.

A study that front-loads depreciation can turn a rental that shows income into one that shows a loss, and that loss may only offset other passive income. It still carries forward, and it is still worth having, but the timing of the benefit changes. Some owners can group the rental and the practice into one activity; that depends on ownership and facts, and is a decision for your CPA.

If you also run research

Practices that develop devices, protocols or software can have a federal R&D credit as well. The building study and the R&D study cover different costs, and depreciable property is never a qualified research expense. Read the R&D tax credit guide and the industries we cover.

Renovations and replacements

A renovation can do two things at once: new build-out to classify, and old components to write off through a partial disposition election on a timely filed original return. Both need the cost records, so send the contractor’s pay applications with the assessment request.

Questions practice owners ask

We lease the building from our own LLC. Does a study still help?
It can, but check the passive-loss result first. Rent from property leased to a practice you materially participate in is generally treated as non-passive income, while a loss from the same rental stays passive. A large first-year deduction can therefore create a passive loss that does not offset practice income. Whether the rental and the practice can be grouped as one activity depends on the ownership and the facts; your CPA makes that call.
We are a tenant. Can we do cost segregation on our build-out?
Yes, for improvements you paid for. Interior improvements to a nonresidential building placed in service after the building itself are generally qualified improvement property: depreciated straight line over 15 years and bonus-eligible. A study separates that from equipment-serving items and anything that does not qualify.
What if we replaced the roof or HVAC on a building we already depreciate?
A partial disposition election lets you write off the remaining basis of the replaced component, but only on a timely filed original return for the year of disposition. A study is one accepted way to measure the disposed basis. Tell us about replacements early.

Primary sources

What this page relies on, as reviewed October 2, 2026.

Tax law, IRS guidance and state conformity change. Confirm the current rules and how they apply to your property with a qualified professional before acting.

Find out whether a study makes sense for your practice building

Tell us about the property: type, purchase or build date, cost, and who prepares your return. We come back with whether a study looks worthwhile, the documents it would need, and a fixed-fee quote.

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