I would consult a lawyer to see if you can break your lease under the condition that the hospital did not hold up their end of the deal. Even if it is not in the actual lease agreement, I believe you would have a case of false promises being made. I would also push the legal envelope and see if you can get out of the entire contract with the hospital. Take your 550 patients and head for the hills! And, DO NOT RENT!! Like Al said, buy, buy, buy. Also, look into mobile services such as bone density scans, Echos, Holters and other vascular studies. If it is a really rural area and you are not close to a large pharmacy like Wal-Mart, look into dispensing your own generics from your office (check your state laws first). I can give you a few tips there if you want to PM me.
Leslie