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ABOUT AUTHOR

Bill Rapp


Bill Rapp is a seasoned commercial real estate broker and finance expert with over a decade of experience helping clients navigate complex property transactions and capital solutions. Based in Houston, Texas, Bill specializes in investment sales, acquisitions, and commercial financing strategies tailored to meet the needs of investors, developers, and business owners. He brings a
unique blend of market insight, negotiation skills, and financial acumen to every deal, consistently delivering value and growth opportunities for his clients. With a deep knowledge of the Houston and Greater Texas markets, Bill
is committed to building long-term relationships and helping clients make smart, strategic decisions in today’s ever-evolving real estate landscape. When
he’s not closing deals or analyzing the next big opportunity, Bill enjoys time with family, outdoor adventures, and giving back to the local community through mentorship and service.If you’d like, I can help write or edit these based on
the book content we’ve built so far.

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šŸ¢šŸ’µ Stop Leasing and Start Owning: Commercial Real Estate Loans for Doctors & Dentists 🩺🦷

šŸ„šŸ¦· Doctor & Dentist Commercial Real Estate Loans: Buy Your Building, Build Equity & Grow Your Practice šŸ’°šŸ¢

September 03, 2026•6 min read

šŸ„šŸ¦· Doctor & Dentist Commercial Real Estate Loans: Buy Your Building, Build Equity & Grow Your Practice šŸ’°šŸ¢

šŸ¢šŸ’µ Stop Leasing and Start Owning: Commercial Real Estate Loans for Doctors & Dentists 🩺🦷

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Doctor & Dentist Commercial Real Estate Loans: Buy Your Building Instead of Leasing

For many doctors and dentists, leasing office space is simply part of running a practice. You find a good location, negotiate the lease, build out the space, and make rent payments every month.

But as your practice becomes established, an important financial question deserves consideration:

Should you continue leasing—or buy your medical or dental office building?

For the right practice, purchasing commercial real estate can transform an occupancy expense into a long-term asset. Instead of paying rent to a landlord, you may be able to build equity, gain greater control over your location, and potentially create another source of long-term wealth.

With doctor and dentist commercial real estate loans, healthcare professionals can finance owner-occupied medical and dental properties through several lending channels.

Why Doctors and Dentists Should Consider Owning Their Real Estate

A medical or dental practice can spend thousands—or tens of thousands—of dollars every month on rent.

While leasing offers flexibility, those payments generally don't create ownership in the underlying real estate.

Purchasing your building changes the equation.

Instead of paying a landlord, your practice makes payments on an asset you own. Over time, principal reduction and potential property appreciation can help build equity.

Ownership can offer several potential advantages:

Build equity. A portion of your mortgage payment reduces principal and increases your ownership position.

Control your location. Ownership can reduce exposure to lease renewals, rent increases, landlord decisions, or relocation risk.

Customize your facility. Medical and dental practices frequently require expensive specialized improvements. Ownership may make long-term investment in those improvements more attractive.

Create a potential retirement asset. A physician or dentist may eventually sell the operating practice while retaining the commercial real estate and leasing it to the successor practice.

Diversify your wealth. Instead of having most of your financial value tied to the practice itself, commercial property can create a separate tangible asset.

Buying vs. Leasing a Medical or Dental Office

Buying isn't automatically better than leasing.

The decision should be based on your practice's financial position, growth plans, liquidity requirements, location strategy, and expected occupancy period.

Leasing may make more sense for a newer practice that expects to grow rapidly or isn't certain where it wants to remain long term.

Ownership becomes increasingly attractive when the practice has predictable cash flow, expects to remain in the location for several years, and has sufficient liquidity to handle the acquisition.

The key is to compare the total economics of buying versus leasing, rather than simply comparing monthly rent with a proposed mortgage payment.

SBA 504 Loans for Doctors and Dentists

The SBA 504 loan program can be particularly attractive for healthcare professionals purchasing owner-occupied commercial real estate.

SBA 504 financing is designed primarily for major fixed assets such as commercial property and equipment.

A typical transaction combines financing from a conventional lender with an SBA-backed Certified Development Company loan and a borrower equity contribution.

For an eligible doctor or dentist, this structure may provide attractive long-term financing while allowing the practice to preserve more working capital than would be possible with a larger conventional down payment.

SBA eligibility, occupancy requirements, borrower contribution and transaction structure must be evaluated for each individual loan.

SBA 7(a) Loans for Medical and Dental Practices

An SBA 7(a) loan may also be worth considering.

Unlike a loan designed exclusively around the real estate, SBA 7(a) financing can potentially accommodate multiple components of a business transaction, subject to SBA eligibility and lender underwriting.

Depending on the transaction, financing could potentially involve real estate, equipment, improvements and other eligible business purposes.

That flexibility can make SBA 7(a) financing particularly useful when a doctor or dentist isn't simply buying a building but is simultaneously expanding or investing in the practice.

Conventional Commercial Real Estate Loans

Established practices with strong financial profiles may also qualify for conventional commercial real estate financing through banks and credit unions.

Conventional financing can provide competitive terms without the SBA structure.

Lenders generally evaluate factors including:

Ā·Practice and borrower cash flow

Ā·Debt-service coverage

Ā·Personal liquidity

Ā·Credit profile

Ā·Property value and loan-to-value ratio

Ā·Practice history

Ā·Global debt obligations

Ā·Property type and marketability

This is one reason it's useful to evaluate several lending channels rather than assuming the first bank proposal represents the entire market.

What If You Want to Build a Medical or Dental Office?

Doctors and dentists aren't limited to purchasing existing properties.

Financing may also be available for ground-up construction or substantial renovation, depending on the borrower, project and lender.

Building a facility can provide greater control over layout and design. That's particularly important for practices requiring treatment rooms, plumbing, imaging equipment, surgical areas, laboratories, specialized electrical systems or other expensive improvements.

However, construction financing introduces additional underwriting considerations, including the construction budget, plans and specifications, contractor experience, contingency reserves, timeline and completed value.

Can You Buy More Space Than Your Practice Needs?

Potentially.

This can be an attractive strategy for growing medical and dental practices.

For example, a dentist occupying 5,000 square feet might consider acquiring a larger building and leasing excess space to complementary tenants.

This could create rental income while preserving room for future expansion.

However, financing rules—including SBA owner-occupancy requirements when applicable—must be considered before structuring the purchase.

What Commercial Lenders Look at Before Approving the Loan

Owning a successful medical or dental practice doesn't automatically guarantee approval.

Commercial lenders generally want to understand both the borrower and the property.

That means underwriting may include business tax returns, personal financial statements, interim financial statements, debt schedules, practice history, liquidity, credit, property information and projections when appropriate.

The lender ultimately needs confidence that the practice can comfortably support the proposed real estate debt.

Get Prequalified Before Shopping for Your Building

One of the most important steps can happen before you make an offer.

Determine approximately how much commercial real estate your practice can reasonably finance.

A preliminary financing analysis can help estimate your likely loan amount, down payment, debt service and lender requirements.

That allows you to search for properties within a realistic acquisition range instead of finding the perfect building first and discovering afterward that the financing doesn't work.

Stop Leasing. Start Building Equity.

Your practice may be one of your most valuable assets.

Your real estate could become another.

For doctors and dentists who expect to remain in a location long term, purchasing a medical or dental building can provide greater control while potentially creating equity and long-term wealth.

The question isn't simply:

"Can I afford to buy a building?"

A better question may be:

"What does continuing to lease cost me over the next 10 or 20 years compared with owning?"

The Bill Rapp – CommLoan Empower Program can help doctors, dentists and other business owners evaluate commercial financing options across multiple lending channels and determine which structure best fits the transaction.

Considering purchasing your medical or dental office? Start with the financing analysis before you start shopping.

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Bill Rapp, CCIM
Director | CommLoan

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[email protected]
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Bill Rapp - Commercial & Residential Mortgage Broker

Whether you're a first-time homebuyer, a seasoned investor, or a business owner with ambitious plans, securing the right financing is crucial. At Medallion Funds, we take the guesswork out of mortgages, offering a comprehensive suite of residential and commercial loan options to fit your unique needs. Looking for Your Dream Home? We understand the excitement and challenges of navigating the residential real estate market. Our experienced mortgage brokers will guide you through every step, from pre-qualification to closing. We offer a variety of loan programs to suit your financial situation, including: • Fixed-rate mortgages: Offering stability with predictable monthly payments. • Adjustable-rate mortgages (ARMs): Providing competitive rates for a set period. • FHA loans: Making homeownership accessible with lower down payments. • VA loans: Rewarding veterans with attractive rates and flexible terms. Investing in Your Business Future? Growth often requires capital, and we can help you unlock the potential of your commercial property. Our brokers specialize in a wide range of commercial loan options, including: • Purchase loans: Financing the acquisition of new buildings or land. • Construction loans: Facilitating the development of your project. • Refinance loans: Restructuring your existing mortgage for better terms. • SBA loans: Providing access to government-backed financing for qualified businesses. The Medallion Funds Difference: We go beyond simply finding a loan. We take the time to understand your goals and develop a personalized strategy. Here's what sets us apart: • Expertise: Our brokers have a deep understanding of both residential and commercial lending. • Competitive Rates: We leverage our strong lender relationships to secure the best possible terms. • Streamlined Process: We handle the paperwork, keeping you informed every step of the way. • Exceptional Service: We're committed to providing you with a positive and stress-free experience. Ready to Take the First Step? Contact Medallion Funds today for a free consultation. Let's discuss your financing needs and help you achieve your dreams!

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