Scott B. Franklin & Associates is now Franklin & Frankel LLC. Please read this message from Scott Franklin.

Scott B. Franklin & Associates is now Franklin & Frankel LLC. Please read this message from Scott Franklin.

Buying vs. Leasing Office Space for Your Dental or Medical Practice

August 13, 2025
Aaron Frankel
doctor setting up office

Finding the right office space is one of the most important business decisions you’ll make as a healthcare business owner and provider. Whether you’re launching a new dental or medical practice, relocating, or expanding, choosing between buying or leasing can impact your cash-flow, flexibility, and long-term goals.

At Franklin & Frankel LLC, we’ve helped dentists, doctors, and healthcare professionals throughout Connecticut and Massachusetts navigate the legal and business aspects of real estate decisions. Below, we break down the key pros and cons of buying versus leasing to help you make an informed, strategic choice.

Buying Practice Space

Pros Cons
Long-Term Investment

Build equity and potentially increase value.

Higher Upfront Costs

Includes down payment, closing, and build-out.

Full Control

Freedom to renovate and customize.

Less Flexibility

Relocating or selling can be costly and time-consuming.

Tax Advantages

May deduct mortgage interest and depreciation.

Maintenance Responsibilities

You manage repairs and property upkeep.

Rental Income Potential

Option to lease space to others.

Tenant Responsibilities

You manage the relationship with tenants.

 

Leasing Practice Space

Pros Cons
Lower Initial Investment

Preserve capital for other expenses.

No Equity; may still require buildout

Rent payments don’t build ownership. Also, you may still need to borrow or invest in a buildout.

Flexibility

Shorter lease terms make it easier to move or expand (but if you’re borrowing from a bank, the lease term typically tracks the loan term).

Lease Renewal Risks

Landlord may increase rent at lease renewal or not renew lease.

Fewer Responsibilities

Landlord may handle maintenance, depending on your lease terms.

Limited Customization

Renovation options may be restricted.

Access to Prime Locations

Ideal for high-traffic areas.

Hidden Costs

Common area maintenance (CAM) fees and other clauses can increase costs.

 

Bottom Line: Align Your Space with Your Strategy

There’s no one-size-fits-all answer. The right path depends on your practice’s goals, cash flow, and long-term plans. A startup dental practice in West Hartford might benefit from the flexibility of leasing, while a growing specialty clinic near Boston may find long-term value in owning their building. No matter your direction, working with an experienced attorney early on can help you avoid hidden pitfalls, negotiate stronger terms, and secure a deal that aligns with your business strategy.

The team at Franklin & Frankel have handled thousands of dental and medical real estate deals, contact us to learn more about the best route forward for your practice.