Medical Office Feasibility Study in the Boston-Cambridge-Newton, MA-NH Metro Area

What SBA's own loan files show about medical office (physicians) lending in the Boston-Cambridge-Newton, MA-NH Metro Area, and what a feasibility study for a project there has to test.

Boston compared with its state

Across FY2017 to FY2026, borrowers starting or acquiring doctors' offices in Boston received 118 approvals and $35.8 million in gross dollars. The local median is $100,000, 0.29x against the class's national median, as reported, so loans run smaller here. Across the country Boston stands 17 of 488 among metro and micro areas for these approvals, in practice, and inside the area the category stands 10 of 39 against its local peers. The location quotient, 0.65x, says medical offices for physicians form a smaller share of approvals in Boston than the nationwide mix. Loan sizes in the middle half stretch from $50,000 to $285,500 in Boston.

Medical office loans by program in Boston

Of the 118 loans, 104 are 7(a) approvals and 14 are 504 loans, by the file, which tells us which SBA route medical offices for physicians applicants tend to use around Boston. Within 504 lending, 8 loans sit with Granite State Economic Development Corporation. The franchise share for Boston is withheld by Loan Analytics, as it would rest on very few loans. The 7(a) holders for doctors' offices are led as follows: 48 loans sit with Eastern Bank, 7 with Rockland Trust Company and 6 with Citizens Bank, National Association. Every name listed is a present holder of the paper in SBA's own records; the table reports who carries the loans now, not who took the first decision or what any of them demands.

Where in Boston and when

Project counties rank Middlesex County, MA first (30), Essex County, MA next (22) and Norfolk County, MA third (22). FY2022 was the thinnest year at 5 approvals and $1.1 million; FY2026 was the fullest at 17 approvals and $7.5 million.

Reading the Boston floors with care

Boston should be judged as a county-built figure: SBA's county of the project, by the file, paired by name to 2023 areas, as a matter of record, decides inclusion for doctors' offices. Boston medical office approvals show at least 18.4% cancelled after approval for FY2017 to FY2024, a minimum; its ceiling is withheld, as too few loans stand behind it. A charge-off rate is not shown for doctors' offices in Boston, because the funded cohort of approvals is too thin to publish; this is not a finding of zero.

The questions a Boston study of medical offices for physicians must answer

Demand is where a study begins when medical offices for physicians are proposed for Boston: specialties and hospital ties, plus payer mix across plans. A record of 118 approvals serves as background, not evidence for one location. The coverage check should assume a sluggish first stretch, since Boston reports medical office approvals that did not go as approved. None of this amounts to a guarantee of approval; it only gives institutions and applicants a shared reference in Boston. The build-out budget should itemize rent and tenure of the space, plus records and billing systems, and then be compared with what Boston lenders approved: $100,000 at the median. Appraisal questions for medical offices for physicians in Boston include owned against leased space and physician transition risk.

SBA medical office (physicians) loans in the Boston-Cambridge-Newton, MA-NH Metro Area

Loans approved, FY2017 to FY2026118
Gross dollars approved$35.8 million
Median loan$100,000
Middle half of loans, from$50,000
Middle half of loans, to$285,500
SBA 7(a) loans104
SBA 504 loans14
Franchise share of loanswithheld
Rank among metro and micro areas for medical office (physicians) loans17 of 488
Rank of medical office (physicians) among the classes in this area10 of 39
Location quotient (share of loans against the national share)0.65x
Median loan against the national median for the class0.29x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor)18.4%
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 Boston-Cambridge-Newton, MA-NH Metro Area, by fiscal year

05101520FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 11Loans, FY2018: 14Loans, FY2019: 11Loans, FY2020: 12Loans, FY2021: 8Loans, FY2022: 5Loans, FY2023: 10Loans, FY2024: 16Loans, FY2025: 14Loans, FY2026: 17
Fiscal yearLoansDollars
FY201711$2.3 million
FY201814$4.3 million
FY201911$4.4 million
FY202012$3.2 million
FY20218$2.1 million
FY20225$1.1 million
FY202310$1.0 million
FY202416$5.4 million
FY202514$4.4 million
FY202617$7.5 million

Most active SBA lenders

SBA 504: lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
Granite State Economic Development Corporation8$2.6 million
SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
Eastern Bank48$6.1 million
Rockland Trust Company7$1.8 million
Citizens Bank, National Association6$710,000

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
Middlesex County, MA30
Essex County, MA22
Norfolk County, MA22
Suffolk County, MA18
Rockingham County, NH13

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-14460-C32.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a medical office (physicians) project in the Boston-Cambridge-Newton, MA-NH 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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