Medical Office Feasibility Study in the Austin-Round Rock-San Marcos, TX Metro Area

What SBA's own loan files show about medical office (physicians) lending in the Austin-Round Rock-San Marcos, TX Metro Area, and what a feasibility study for a project there has to test.

Austin medical offices: a mid-table class with large loans

Over FY2017 to FY2026, SBA approved 56 medical office loans in Austin, worth $57.8 million in all. Two standings frame Austin: 25 of 488 nationally for medical office, and 10 of 39 among the classes at home. Medical office is underweight in Austin: a 0.87x location quotient sits below the national share. Travis County, TX carries 33 of the loans.

Half of Austin's loans land between $297,700 and $1.1 million, around $512,500 at the median. Austin's median is 1.50x the national medical office median. Programs split 46 to 10, 7(a) against 504, across Austin. No franchise share appears for Austin, because Loan Analytics withholds it.

No lender reaches the naming point

No individual lender is listed for either program in this cell, which leaves the holder side blank by design. No lender is named for Austin, so the page offers no holder to compare. For Austin, these lines record loans held, yet say nothing of underwriting.

Austin shows no cancellation rate or charge-off rate because Loan Analytics holds them back, so the silence says nothing about losses. By year: FY2017 brought 7 loans worth $3.6 million, FY2021 brought 5 loans worth $11.0 million, FY2024 brought 6 loans worth $8.9 million, and FY2026 brought 7 loans worth $3.6 million. Years not listed are held back on thin counts. The July 2023 list of counties defines Austin, so some loans are absent.

What Austin borrowers and lenders should test

A practice here stands or falls on referrals and payers, so the study should name the sources of patients, the specialty's competitors in Travis County and the months a new physician needs to be credentialed. With a median of $512,500, 1.50x the national median, exam rooms, imaging space and tenant improvements deserve a room-by-room budget, and coverage should be built on collections, not charges. An owner-user can count rent saved, but the study should still address what happens if the physician leaves. Collateral analysis must price the specialized fit-out on its own and name the tenants who could take over the suite. Site parking, step-free entry for patients and the distance to hospitals or imaging centers should be documented.

SBA medical office (physicians) loans in the Austin-Round Rock-San Marcos, TX Metro Area

Loans approved, FY2017 to FY202656
Gross dollars approved$57.8 million
Median loan$512,500
Middle half of loans, from$297,700
Middle half of loans, to$1.1 million
SBA 7(a) loans46
SBA 504 loans10
Franchise share of loanswithheld
Rank among metro and micro areas for medical office (physicians) loans25 of 488
Rank of medical office (physicians) among the classes in this area10 of 39
Location quotient (share of loans against the national share)0.87x
Median loan against the national median for the class1.50x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor)withheld
Charged off to date, FY2017 to FY2021 disbursed loans (a floor)withheld

Both rates are floors. SBA withholds the status of open loans, so a loan counts as charged off only once SBA reports it; a rate needs at least 30 loans in its cohort and is otherwise not reported.

SBA medical office (physicians) loans approved in the Austin-Round Rock-San Marcos, TX Metro Area, by fiscal year

0246810FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 7Loans, FY2020: 10Loans, FY2021: 5Loans, FY2022: 5Loans, FY2024: 6Loans, FY2025: 8Loans, FY2026: 7
Fiscal yearLoansDollars
FY20177$3.6 million
FY2018withheldwithheld
FY2019withheldwithheld
FY202010$6.4 million
FY20215$11.0 million
FY20225$4.3 million
FY2023withheldwithheld
FY20246$8.9 million
FY20258$10.7 million
FY20267$3.6 million

Where the loans are, by county

CountyLoans
Travis County, TX33

Counties with 5 or more loans; smaller ones are not listed.

Metro is the CBSA (metropolitan or micropolitan statistical area) of the loan's project county, July 2023 delineation (OMB Bulletin 23-01). The county is matched by name (manifests/ld2/county-cbsa-map.csv); a loan whose county cannot be placed in a 2023 CBSA is left out of every metro.

A value marked withheld rests on fewer than 5 loans, or is withheld so that such a figure cannot be derived from other published figures.

Source: U.S. Small Business Administration, 7(a) and 504 loan-level FOIA files (data.sba.gov), as of 2026-09-30; areas from the U.S. Census Bureau CBSA delineation, July 2023 (OMB Bulletin 23-01); Loan Analytics metro cell MA-12420-C32.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a medical office (physicians) project in the Austin-Round Rock-San Marcos, TX Metro Area, financed under SBA 7(a), SBA 504, USDA Business and Industry or a conventional bank loan. Tell us the project and the lender's deadline, and we reply with scope, timeline and fee.

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