Medical Office Feasibility Study in the Boise City, ID Metro Area

What SBA's own loan files show about medical office (physicians) lending in the Boise City, ID Metro Area, and what a feasibility study for a project there has to test.

Boise medical offices: one county, steady 504 use

Medical offices for physicians rank eighth locally in Boise City, 8 of 39, with a location quotient of 1.28x, and the metro is 29 of 488 nationally. SBA records 46 loans and $26.6 million across FY2017 to FY2026, 41 of them in Ada County, ID. A typical Boise approval is $364,000, or 1.06x of what the class draws nationally, while the middle band reaches from $150,000 to $688,125.

Program use is notably split: 30 loans on 7(a) and 16 on 504, a heavy 504 side for a professional service, which suggests physicians buying buildings. The franchise share is 0.00%, so there is no brand benchmark for a Boise practice, and comparables must come from local clinics instead. Glacier Bank is the one holder listed, at 8 loans and $2.8 million. A lender's appearance in this table reflects SBA's records of loans it holds or held, not a judgment of its conduct.

Loss floors and the thin yearly record

The cohort from FY2017 to FY2024 shows cancellation of at least 13.9%. For the ceiling and for charge-offs SBA gives no figure, and the gaps are not zeros. Only two years print: FY2017 with 6 loans and $2.7 million and FY2021 with 5 and $2.3 million. Nothing else in the series shows, which also means no single year can be called typical, so a reader cannot say whether Boise medical lending is rising or falling.

Because membership in Boise City follows the project county, a loan whose county the 2023 delineation cannot match is absent from this page.

Boise clinics: the proof a study owes

Physician headcount, referral patterns, payer mix and the competing clinics and hospital-owned practices in the area are what a study weighs first. Build-out or purchase costs have to be set against the $364,000 midpoint, with collections carrying debt service coverage; a practice that owns its building can use the 504 route that nearly a third of these loans took. The appraisal separates the practice's goodwill from the property. The report goes out over the name of Daniel Smith, MAI. It supports a borrower's request; it cannot promise that a lender says yes.

SBA medical office (physicians) loans in the Boise City, ID Metro Area

Loans approved, FY2017 to FY202646
Gross dollars approved$26.6 million
Median loan$364,000
Middle half of loans, from$150,000
Middle half of loans, to$688,125
SBA 7(a) loans30
SBA 504 loans16
Franchise share of loans0.00%
Rank among metro and micro areas for medical office (physicians) loans29 of 488
Rank of medical office (physicians) among the classes in this area8 of 39
Location quotient (share of loans against the national share)1.28x
Median loan against the national median for the class1.06x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor)13.9%
The same, counting loans still undisbursed as cancelled (a ceiling)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 Boise City, ID Metro Area, by fiscal year

0246FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 6Loans, FY2021: 5
Fiscal yearLoansDollars
FY20176$2.7 million
FY2018withheldwithheld
FY2019withheldwithheld
FY2020withheldwithheld
FY20215$2.3 million
FY2022withheldwithheld
FY2023withheldwithheld
FY2024withheldwithheld
FY2025withheldwithheld
FY2026withheldwithheld

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
Glacier Bank8$2.8 million

Lenders with 5 or more loans here; a lender with fewer is not listed, and loans SBA or a receiver holds are counted but never listed as a lender.

Where the loans are, by county

CountyLoans
Ada County, ID41

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-14260-C32.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a medical office (physicians) project in the Boise City, ID 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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