Medical Office Feasibility Study in the Charlotte-Concord-Gastonia, NC-SC Metro Area
What SBA's own loan files show about medical office (physicians) lending in the Charlotte-Concord-Gastonia, NC-SC Metro Area, and what a feasibility study for a project there has to test.
Charlotte-Concord-Gastonia: medical office lending
For Charlotte-Concord-Gastonia, from FY2017 through FY2026, SBA's data list 35 medical office loans, adding up to $25.0 million in gross dollars. Inside Charlotte-Concord-Gastonia, medical office lending lands 11 of 39 in the area's ordering of classes, and Charlotte-Concord-Gastonia sits at 40 of 488 across the national ordering of metro and micro areas ranked by medical office loans. At 0.62x, Charlotte-Concord-Gastonia's location quotient puts medical office below the nation. A typical Charlotte-Concord-Gastonia loan, measured by the median, is $500,000. The inner half of Charlotte-Concord-Gastonia loans stretches from $250,000 to $917,750, and the median comes to a ratio of 1.46x to the class median nationally. Medical office is a lighter part of local lending than of the national book (0.62x), yet the loans are not small: the median of $500,000 is 1.46x the class median nationally. Practices in this cell borrow more than the typical physician office elsewhere, though there are fewer of them than the national mix would suggest.
Split by program in Charlotte-Concord-Gastonia, 35 loans are SBA 7(a), beside none under SBA 504. The Charlotte-Concord-Gastonia franchise rate is withheld. Among the Charlotte-Concord-Gastonia holders The Huntington National Bank appears with $2.9 million in 5 SBA 7(a) loans. Charlotte-Concord-Gastonia's holder rows show today's holders only. Charlotte-Concord-Gastonia applicants get no signal of bank standards from them. County by county: Mecklenburg County, NC has 13 loans; Union County, NC has 10 loans.
Charlotte-Concord-Gastonia: years, floors and limits
For Charlotte-Concord-Gastonia, only some years can be printed: FY2017 shows 5 loans totalling $4.2 million; FY2025 records 9 loans totalling $4.2 million; FY2026 shows 6 loans valued at $3.7 million. In FY2020, Charlotte-Concord-Gastonia shows 0 loans and $0. These Charlotte-Concord-Gastonia years are held back: FY2018, FY2019 and FY2021 to FY2024. Those Charlotte-Concord-Gastonia years do not mean none. A cancellation rate for Charlotte-Concord-Gastonia: suppressed, fewer than 30 loans in all. The Charlotte-Concord-Gastonia charge-off rate: held back, short of 30 loans. Charlotte-Concord-Gastonia's minimum is Loan Analytics' own. Charlotte-Concord-Gastonia has a small FY2017 to FY2021 cohort. Charlotte-Concord-Gastonia is drawn on the 2023 July list. Charlotte-Concord-Gastonia admits a loan only by its county. Charlotte-Concord-Gastonia drops unmatched loans.
Charlotte-Concord-Gastonia: what to test
For a Charlotte-area medical office, the study should establish who the practice's patients are, which payers they use and how far they travel, then test the cost of the suite against a loan around $500,000. Where the project buys an existing practice, the price paid for goodwill should be separated from the price of the real estate. Payment coverage needs a realistic ramp in provider productivity, and the appraisal will want rent or practice-occupancy income that matches the build-out.
SBA medical office (physicians) loans in the Charlotte-Concord-Gastonia, NC-SC Metro Area
| Loans approved, FY2017 to FY2026 | 35 |
|---|---|
| Gross dollars approved | $25.0 million |
| Median loan | $500,000 |
| Middle half of loans, from | $250,000 |
| Middle half of loans, to | $917,750 |
| SBA 7(a) loans | 35 |
| SBA 504 loans | 0 |
| Franchise share of loans | withheld |
| Rank among metro and micro areas for medical office (physicians) loans | 40 of 488 |
| Rank of medical office (physicians) among the classes in this area | 11 of 39 |
| Location quotient (share of loans against the national share) | 0.62x |
| Median loan against the national median for the class | 1.46x |
Cancellation and charge-off
| Cancelled after approval, FY2017 to FY2024 approvals (a floor) | not reported: fewer than 30 loans in the cohort |
|---|---|
| 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 Charlotte-Concord-Gastonia, NC-SC Metro Area, by fiscal year
| Fiscal year | Loans | Dollars |
|---|---|---|
| FY2017 | 5 | $4.2 million |
| FY2018 | withheld | withheld |
| FY2019 | withheld | withheld |
| FY2020 | 0 | $0 |
| FY2021 | withheld | withheld |
| FY2022 | withheld | withheld |
| FY2023 | withheld | withheld |
| FY2024 | withheld | withheld |
| FY2025 | 9 | $4.2 million |
| FY2026 | 6 | $3.7 million |
Most active SBA lenders
| Lender | Loans | Dollars |
|---|---|---|
| The Huntington National Bank | 5 | $2.9 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
| County | Loans |
|---|---|
| Mecklenburg County, NC | 13 |
| Union County, NC | 10 |
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-16740-C32.
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