Insights, medical office lease, facility & operations for tenants | MD Office Spaces
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Insights · August 2026

Notes for medical tenants, lease, facility, operations.

Written by advisors who only represent tenants. Each note tackles one decision a growing practice actually has to make.

Tenant improvement negotiation
TI negotiation for medical office: what the landlord should pay for vs. what you’ll eat
Tenant improvement allowances for medical office leases in Southern California, what a landlord will fund, what they push back on, and how to frame the ask so the negotiation actually moves.
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How to actually size parking
Parking ratios that actually work for a busy medical practice
The parking ratio your medical office lease quotes usually isn’t enough for a busy practice. Here’s how to size parking correctly and what to negotiate when the ratio doesn’t work.
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Physical HIPAA in the lease
HIPAA in the physical office, what your medical office lease should let you do
Your HIPAA compliance depends on physical office elements your lease often quietly restricts, records storage, acoustic separation, entry control, alterations rights. Here’s what to negotiate.
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Sublease as a growth lever
Sublease vs. direct: when a growing medical practice should sublet to a subspecialist
When it makes sense to sublet part of your medical office suite to a subspecialist or partner practice, the economics, the lease clauses, and the operational trade-offs.
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Considering a move — or renegotiating a lease you’re already in?

We only represent tenants. Tell us what your practice needs; we’ll come back with real options and a point of view.

Talk to an advisor or call (619) 796-3390