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Practice Wealth
For Doctors · Dentists · Chiropractors · Healthcare Practice Owners

Build wealth beyond the hospital, clinic, or practice.

For physicians who are tired of working harder every year without feeling more free, real estate can become a practical path to more income, smarter tax planning, and greater long-term autonomy.

You do not need to become a full-time investor. You need clear guidance, sound strategy, and options that fit your real life.

Should You Own the Space Where You Practice?  ·  A detailed analysis by a healthcare professional with real-world residential and commercial ownership experience

Real-World
residential & commercial ownership experience
$500M+
in combined transaction experience
Free
intro call · professional referrals · no spam
About

This platform exists because physicians deserve more than a life of endless production.

Dr. Sarah Khan
Co-Founder

Dr. Sarah Khan

Healthcare professional · Washington State

Sarah is a healthcare professional with real-world residential and commercial ownership experience, and a co-founder of Practice Wealth. She manages residential rentals and Airbnb properties and holds a commercial license with eXp Realty. She built her real estate portfolio alongside her clinical career — not by leaving healthcare, but by finding a way to do both.

What sets Sarah apart is that she understands the pressures of practice ownership from the inside: the overhead, the staffing, the tax complexity, the production treadmill, and the desire to build something beyond clinical income. That lived experience is the foundation of Practice Wealth.

Paul Frank
Co-Founder · Senior Commercial Advisor

Paul Frank

Commercial real estate since 1986

Paul is one of the most experienced commercial real estate professionals in the country. As CEO and President of the PDF Group of Companies, he built a diversified enterprise spanning commercial brokerage, development, property management, residential, multi-family, industrial, land, site selection, and business brokering.

PDF Powered by eXp Commercial operates across nine states with access to a network of over 88,000 agents nationwide. For commercial deals, practice space acquisitions, 1031 positioning, and complex deal structuring, Paul's depth of experience is central to what Practice Wealth offers.

Practice Wealth was not created from theory. It was created from lived experience.

The Problem

You can be highly successful and still feel financially boxed in.

You wake up early. You see patients all day. Between appointments, you are managing staff issues — someone called out, someone is unhappy, someone needs to be trained again. You are dealing with insurance, with overhead, with supply costs, with scheduling conflicts. You are making clinical decisions that carry real consequences for real people. And then you go home to your family, your kids, your responsibilities there.

By the time you sit down at night, the idea of researching real estate — learning a new vocabulary, evaluating a deal, calling a lender — feels like being asked to run another marathon after you just finished one.

So you do not do it. Not because you are not smart enough. Not because you are not interested. Because you are genuinely, deeply exhausted. And investing becomes the thing you will get to "next year."

Then tax season arrives. You sit down with your CPA and see the number. And you think: what could I have done differently? What could I have set up last year that would have changed this? And the answer is always the same — something you did not have the bandwidth to think about when you were in the middle of it all.

This cycle repeats. Year after year. The income is strong, but the taxes are brutal, the time is gone, and the wealth-building keeps getting pushed to the back of the line behind patients, staff, kids, overhead, continuing education, and everything else that demands your attention every single day.

That is the real problem. Not a lack of intelligence. Not a lack of income. A lack of bandwidth — and a system that was never designed to help you build wealth outside of clinical production.

Real estate is not magic. But it can be one of the clearest ways to break that cycle: to build income that does not depend on your next shift, to create tax advantages that work for you instead of against you, and to start building something that grows whether or not you are in the operatory.

Practice Wealth exists because we understand that cycle from the inside — not from a textbook.

Why Real Estate

Why physicians are drawn to real estate.

Real estate offers something that many traditional investments do not: the ability to combine multiple benefits in a single asset. Depending on the strategy, a property may offer monthly cash flow from tenants, long-term appreciation, mortgage paydown over time, tax advantages including depreciation, leverage through financing, and more direct control than most passive paper investments.

Residential rental property is generally depreciated over 27.5 years, and nonresidential real property over 39 years under IRS rules. That does not mean every property is a good investment. It means real estate is worth understanding because it can be shaped around different stages of life, different tax situations, and different time constraints.

Unusually Well-Positioned

Doctors often have advantages they do not realize.

Many physicians assume they are "late" to investing. In reality, they often have several structural advantages — the real challenge is rarely ability. It is bandwidth, clarity, and knowing where to start.

01

Strong, Stable Income

People always need healthcare. Your income does not disappear in a recession. Lenders recognize this.

02

Exceptional Borrowing Power

Physician mortgage programs, higher approval limits, and favorable underwriting exist specifically for healthcare professionals.

03

Discipline & Analytical Thinking

The rigor that got you through training serves you well in evaluating deals.

04

Ability to Act in Downturns

When the economy dips, most high earners see income drop. Yours stays stable.

05

Long Career Horizon

Even starting at 35 or 40, you have decades of earning ahead. Time is a powerful ingredient.

06

Tax Bracket Leverage

Deductions and depreciation produce larger dollar savings for you than for someone earning less.

Tax Advantages — A Brief Overview

Real estate may offer tax advantages that many physicians overlook.

Many physicians are in high tax brackets and feel like an enormous amount of their effort goes to taxes. Real estate can sometimes help, but only when the structure, use, and tax treatment are understood properly.

Depreciation

The IRS allows a portion of a property's value to be deducted over time, creating a paper loss that may reduce taxable income — even while the property may be appreciating.

Cost Segregation

A study that reclassifies building components into shorter depreciation schedules, potentially accelerating deductions into the early years of ownership.

Short-Term Rentals

Under IRS passive-activity guidance, an activity is not treated as rental if average customer use is 7 days or less. Material participation still matters.

REPS vs. STR

Real Estate Professional Status requires 750+ hours. The short-term rental exception has lower thresholds and works even with a full-time clinical job.

1031 Exchanges

A strategy that may allow deferral of certain capital gains taxes when selling one investment property and purchasing another qualifying property.

Owning Your Practice Space

If you currently lease, purchasing the space may allow you to build equity, capture depreciation, and control your environment.

We are not CPAs or tax attorneys. Tax laws are complex and change frequently. A qualified tax professional should always be part of your planning. What we can do is help you understand the landscape so you ask better questions.
Investment Paths

There is more than one way to invest.

Not every physician should pursue the same path. The right strategy depends on your goals, schedule, risk tolerance, and how active you want to be.

01

Buy & Hold

Often the simplest entry point. Purchase a rental, hold for cash flow and appreciation.

02

House Hacking

Living in one part of a property while another part helps offset housing costs. Often appealing for residents and younger attendings.

03

Short-Term Rentals

Potentially higher income and sometimes part of broader tax discussions. More operationally involved. IRS rules apply.

04

Practice Space Ownership

For practice owners, owning the space can mean greater control, equity creation, and an additional long-term asset.

05

Value-Add

Purchase below market, improve, increase rents or resell. More involvement, more risk, potentially more reward.

06

Passive Investing

REITs, syndications, partnerships. For physicians who want exposure without direct operational responsibility.

Not sure where to begin? Start with the free article.

Residents & Fellows

You do not need to wait until everything feels perfect.

Many doctors assume real estate is only for fully established attendings. It is not. For some residents and fellows, the right move may be modest: learning underwriting basics, understanding financing expectations, exploring house hacking with an FHA loan and 3.5% down.

The first win does not need to be dramatic. Sometimes the biggest shift is moving from confusion to competence. Most new attendings waste the first three to five years of high income on lifestyle inflation. If you already understand investing, you deploy that income strategically from day one.

Community

It feels easier when you are not doing it alone.

One of the biggest barriers for physicians is not the money or the time — it is the isolation. Most doctors do not talk about investing with colleagues. They feel embarrassed asking basic questions. They worry about looking naive.

Real estate becomes far less intimidating when physicians can learn in a setting that feels intelligent, practical, and relevant. A strong community can shorten the learning curve, normalize the questions people are afraid to ask, and help doctors move from analysis paralysis to informed action.

Practice Wealth is building a community specifically for healthcare professionals who want to think more strategically about real estate. No sales pitch. Just education, real numbers, and conversations with people who understand your world.

Success Stories

In their own words.

Owning my own office space turned out to be as crucial for me professionally as owning my own practice. It gave me full control over the improvements I could make on the property, as well as the security of knowing that I wasn't tied to a lease that was “at the whim” of some third-party landlord. The icing on the cake came when transitioning out of practice for retirement: not only did I have a business to sell, but also, eventually, the real estate.
Mark S. Douglas, DDS, MSD
Orthodontist
Letters of Recommendation

On working with Paul Frank.

Working with Paul Frank has been a meaningful and enduring professional relationship. I established Fountain Plaza Family Dental in Elk Grove in September 1996, and the opportunity, stability, vision, and professionalism behind the development created an environment where my practice could succeed and flourish.

Over the past three decades, I have experienced extraordinary professional and personal growth, built lifelong relationships with patients and colleagues, and had the privilege of raising my three daughters into remarkable women while practicing in a community I deeply value. Having my office at Fountain Plaza became more than a great business decision — it has become a foundation for long-term personal and professional legacy.

Paul Frank and his family have consistently demonstrated integrity, forward-thinking leadership, and a genuine commitment to creating spaces where businesses can thrive. Watching the Frank organization expand its vision into broader real estate and entrepreneurial ventures around the country comes as no surprise to me, because that same spirit of excellence and opportunity has been evident from the very beginning.

I am proud to endorse Paul Frank and grateful for the role his partnership and leadership have played in the success and longevity of my career.

Wallace J. Bellamy, DMD, FACD, FICD
Owner, Fountain Plaza Family Dental · President, National Dental Association (NDA) · Director, California Dental Association (CDA)

I have had the pleasure of working with Mr. Paul Frank for over 20 years. I feel fortunate to start my 36th year of practicing dentistry in Elk Grove, CA, and for almost 20 years I have practiced in a building that Paul built.

Prior to purchasing the condominium unit in Liberty II, I had been aware of Paul's success and career of developing commercial buildings in Elk Grove. My first boss, when I was just out of dental school, worked with Paul and his father to construct a building that would house his growing practice.

Elk Grove, for much of the past three decades, has seen rapid growth in its residential home building. My practice has benefited from this population growth, and as a result I had transitioned through two prior offices before building my current office in 2006.

Paul's commercial buildings and projects have increased in size and complexity with each successive project, and I was fortunate to become one of the first owners to build out their space. Compared to my previous build eight years prior, working with Paul was smooth — from negotiating the purchase contract to having my contractor work with Paul and the building contractor.

In the 20 years since, I have continued to work with Paul and his management team, as I have served on the Liberty II board during these years. PDF management has been supportive and responsive in maintaining our building for both safety and esthetics. The large spiral staircase and skylight atrium still impress both my patients and me when entering the building.

In addition, Paul has always offered me good business advice, and when I sold another unit in the building, he introduced me to contacts who allowed me to complete my first 1031 exchange. I feel his vast experience and knowledge of the commercial building industry will benefit anyone who has the opportunity to work with him and his company.

Darrell S. Chun, DDS, MAGD
Liberty II owner · Elk Grove, CA

I've known Paul Frank for over 25 years and have had the pleasure of interacting with him in various settings. Whether it be in business, our children's school, or recreational activities, I've always found Paul to act with honesty and integrity. If you are considering collaborating with Paul Frank, you may wish to know that Paul has my highest recommendation.

J.C. Fat, DDS, MS
What We Offer

How Practice Wealth works.

Always Free

Start here. No cost.

Three things that cost you nothing and give you a foundation to make better decisions.

15-Min Intro Call

A brief conversation about your situation and whether real estate makes sense for you. No sales pitch.

The Article

Should You Own the Space Where You Practice? — written by a healthcare professional with real-world residential and commercial ownership experience.

Professional Referrals

Vetted agents, CPAs, cost-seg firms, property managers, 1031 intermediaries, and lenders. No charge.

Frequently Asked

Questions, answered honestly.

Is the consultation really free?
Yes. The 15-minute intro call is completely free — a brief conversation about your situation, with no cost and no sales pitch.
Are the referrals really free?
Yes. We connect you with agents, CPAs, cost segregation firms, property managers, 1031 intermediaries, and lenders at no cost to you. Building the right team is the most important step, and we do not charge for it.
I have no real estate experience. Is this realistic?
Yes. Most of our clients start from zero. That is exactly what the article and the intro call are for.
I do not have time to manage properties.
Most physician-investors hire property managers. Many spend less than an hour per month on their properties. We refer you to vetted property managers as part of our complimentary referral service.
How much money do I need to start?
For a conventional investment loan, expect 20–25% down. House hacking with an FHA loan can require as little as 3.5% if you live in one unit. We can walk you through multiple starting points at different budget levels.
I have heard I need hundreds of thousands to start. Is that true?
Not necessarily. A $300,000 property with an FHA house-hack could require roughly $10,500 plus closing costs. The assumption that you need $100K+ to begin is one of the most common misconceptions that keeps physicians from starting.
What is the short-term rental loophole?
A provision in the tax code that may allow certain short-term rental losses to offset W-2 clinical income without Real Estate Professional Status. Your CPA helps determine what applies to your situation.
Will you sell my information?
No. Your information stays with us. Period.
Do you work with residents?
Yes. Starting early is one of the most valuable advantages you can have.
Can you help with buying my practice space?
Yes. This is one of our core strengths. Start with the free article, then book a consultation.
I feel like it is too late for me.
It is not. We have worked with people who started in their 50s and found that the process finally felt understandable. There are practical first steps that work at any career stage.
Download the Article

Should you own the space where you practice?

A detailed analysis of the advantages, disadvantages, and real-world lessons — written by a healthcare professional with real-world residential and commercial ownership experience.

  • What ownership actually costs versus leasing
  • Depreciation and cost-seg basics for practice owners
  • When ownership is the wrong move (it sometimes is)
  • A framework for evaluating the decision
Free 15-min call?

Your information is confidential — we only use it to follow up, and we never sell or share it. Your article downloads automatically as soon as you submit.

Final Word

Your practice takes care of your patients. Real estate can take care of your future.

Free referrals to agents, CPAs, and advisors. No spam. No sales pitch. Just a real conversation when you are ready.