A physician signs one or two commercial leases in an entire career. Maybe they purchase a building or condo. We negotiate leases and purchase contracts every week — for primary care groups, surgeons, orthodontists, and dental practice owners across the Front Range.
Colorado Real Estate Brokers has represented primary care groups leasing and purchasing multiple clinic locations, surgeons buying and selling their practice real estate, orthodontists and dental practice owners leasing, buying and selling their buildings. Medical space is not general office space with exam rooms in it. The buildout costs more, the mechanical requirements are different, the lease term has to line up with how long you actually intend to practice, and the value of the building is tied to a business that has its own buyer market. We handle all of it as one transaction, because for you it is one transaction.
What We've Done
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Primary care: Sold primary care medical buildings, Leased locations for primary care physicians — site selection, market comparison, and lease negotiation across a multi-site rollout.
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Surgical practices. Represented surgeons on both the acquisition and the disposition of practice real estate.
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Dental. Sold dental office properties, including practices in transition.
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Firm-wide. Over 25 years of combined commercial real estate experience and more than $100 million sold and leased.
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Medical & Dental Office Real Estate in Denver and the Front Range
What Some of Our Medical Clients Are Saying...
I worked with David from start to finish Along with Stuart. In the beginning I was trying to determine what I was going to do as I realised I had to leave my medical practice and start my own. I wasn’t sure if I was gonna rent or buy and I wasn’t sure exactly where. David was extremely patient informative and guided me throughout the process. He was a wealth information and helped me end up in the best situation possible. he has excellent expertise along with Stuart in the medical care space and the commercial real estate space. At no point did I feel that he is pressuring me to just do a sale or “get things done “ . I honestly felt like he was help me make the best decision for myself and my business. I recommend him highly to anybody who is interested in a similar realtor.
Dr. Brent Herron, MD - Redwood Medical
I changed my mind of which commercial space I was going to rent 3 times and David Fingerhut was helpful, accommodating, responsive and a joy to work with the entire time!!
We needed an almost not findable property. Our patients are very particular. They do not like change and notice change. David took this challenge on understanding that finding this location may be impossible with the location demands. The deal was not without drama. We were living in as Broomfield Turns. on this episode of. He is hands on, has tons of recourse and back up for back up recourses. We found the perfect location for growth and safety. Our patients will not have to play chicken with traffic to get out of our parking lot and only change is turning right not left off of Midway. David and Stewart are straight forward with what is happening along with risks and benefits. We will continue to work with them to rent our extra space.
Who We Represent
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Practice owners leasing space. First location, relocation, expansion, or renewal. We tell you what the space should cost and what the landlord will actually concede.
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Physicians, surgeons and dentists buying their building or condo. Owning the real estate turns rent into equity and separates two assets — the practice and the property — that can later be sold to two different buyers at two different times.
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Owners selling. Whether you are retiring, consolidating, or exiting to a DSO or private equity buyer, the building is a separate negotiation from the practice. We price it and market it as its own asset.
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Investors buying medical office. Medical tenants are generally solid tenants and renew at higher rates than general office because relocation means losing patients. We underwrite that.
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Landlords with medical space to fill. Medical tenants are long-term and capital-intensive. Filling that suite is a different marketing problem than filling standard office.
What Actually Decides a Medical Deal
This is the part generic brokers miss.
Buildout is the whole negotiation. Medical buildout commonly runs several times standard office finish. Plumbing to multiple operatories or exam rooms, dedicated mechanical, sterilization, and specialty electrical drive the number. The tenant improvement allowance — and who owns the improvements at the end — is usually worth more than the rate you argued over per square foot.
Second-generation space is worth chasing. A former dental or medical suite with plumbing and casework already in place can save six figures against building from shell. We know where that inventory sits along the Front Range, and it doesn't always show up on the public listing platforms.
Equipment sets physical requirements. Imaging needs floor loading and, in some cases, shielded walls. Surgical and procedural suites need HVAC capacity and redundancy that most landlords have never quoted. These get discovered during design if nobody raised them during site selection — after the lease is signed.
Parking ratio is a patient-volume constraint. A practice seeing patients on a tight appointment cycle plus staff plus turnover needs more stalls per thousand square feet than the building was designed for. Run the number against your actual schedule, not the building's standard.
Zoning and use approval. Not every commercially zoned parcel in Denver permits a clinical use by right, and some uses trigger additional review. Confirm before spending money on plans.
Lease term should match your horizon. A long term gets you better economics and more TI dollars. It also becomes a liability on your balance sheet if you sell the practice in year four. If a practice sale is anywhere in view, the term, the assignment clause, and the personal guarantee need to be negotiated with that exit in mind.
Exclusivity and co-tenancy. If you don't negotiate a use restriction, the landlord can lease the suite down the hall to your direct competitor.
Location is referral geography. Proximity to hospital campuses, to referring providers, and to the payer mix in the surrounding zip codes matters more than curb appeal. That's a market analysis question, and we run it.
Selling the Practice and the Building
Practice consolidation in Colorado — DSOs in dental, private equity in specialty medicine — has separated the two sides of these deals. A buyer acquiring the practice frequently does not want the real estate. That is not a problem. It is a second transaction.
We structure the sale-leaseback or the outright disposition so the building sells on its own merits, at investment-grade pricing supported by the new lease, rather than getting discounted into the practice purchase price. If you are holding the property, a 1031 exchange can move the proceeds into replacement investment property and defer the gain.
(See also: Investment Services · 1031 Exchange · Property Valuation)
Why Owners Call Us Instead of a National Firm
We pick up the phone when you call. We respond to texts and emails as soon as are able to.
We also work both sides of the medical market. Some healthcare brokerages represent tenants and buyers exclusively and cannot list your building when you're ready to sell. We represent tenants, buyers, landlords, and sellers — so we know what the other side of the table is being told.
We take Front Range deals at the size physicians actually own. The national platforms typically concentrate on portfolio-scale medical office trades. The single-building, single-practice transaction is our normal work, not an accommodation.
You work with the broker, not a team. Stuart Dobson and David Fingerhut handle these engagements directly.
How It Works
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Conversation. Your practice, your timeline, and whether ownership or leasing fits your plan.
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Market analysis. Comparable rates, sale comps, available inventory including second-generation medical space, and a candid read on what's achievable.
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Strategy. Location and demographic analysis, budget for buildout, and a target structure.
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Negotiation. Rate, TI allowance, term, options, exclusivity, assignment, and guarantee.
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Through closing. Due diligence coordination, and we stay on the deal until it records or the lease is executed.
Common Questions
Should I lease or buy my medical office? It depends on how long you intend to practice and whether you want the building as a retirement asset. Ownership builds equity and gives you an asset you can sell separately from the practice — often to a different buyer, at a different time. Leasing preserves capital and flexibility, which matters if you may relocate, expand, or sell the practice within a few years. We'll run both scenarios on your actual numbers before you decide.
What does medical office space cost in Denver? Rates vary substantially by submarket, building class, and whether the suite is already built out for medical use. The rate is also only part of the cost — the tenant improvement allowance and the operating expense structure frequently matter more to your total occupancy cost than the quoted rate. Call us for current numbers on your target submarket.
Can you help if I'm selling my practice to a DSO or a private equity buyer? Yes. The real estate is a separate asset from the practice and should be negotiated separately. We handle the building side, including sale-leaseback structures.
Do you work outside Denver? Yes. We cover the Front Range — including Colorado Springs, Parker, Castle Rock / Pines, Boulder, Lakewood, Westminster, Aurora, Littleton, Broomfield, and the surrounding metro.
What does representation cost me as a tenant or buyer? In most lease and purchase transactions, the commission is paid out of the listing side. We'll explain exactly how compensation works in your specific deal before you engage us.