Medical Office cost segregation in North Carolina.

Why medical office buildings reclassify well in North Carolina

North Carolina is one of the strongest Sun Belt growth stories — with the Charlotte and Triangle MSAs anchoring heavy multifamily, industrial, and life-sciences activity.

Medical Office properties have a particular profile that makes cost segregation especially valuable: specialty plumbing, dedicated electrical, lab + imaging suites. The shell sits on a 39-year recovery period under MACRS — but every medical office is hundreds of components, many of which qualify for 5-, 7-, or 15-year recovery and accelerated bonus depreciation.

Typical reclassification ratio

For a medical office in North Carolina, TDA studies typically reclassify 28–38% of depreciable basis. Combined with 100% OBBBA bonus depreciation on property acquired and placed in service after January 19, 2025, that translates the entire reclassified amount into a year-one deduction.

North Carolina markets we serve

We deliver medical office cost segregation studies across North Carolina, including Charlotte, Raleigh, Greensboro, Durham, Winston-Salem. Engineering-based methodology and RSMeans cost data on every engagement.