Medical Office Feasibility Study in the Cleveland, OH Metro Area
What SBA's own loan files show about medical office (physicians) lending in the Cleveland, OH Metro Area, and what a feasibility study for a project there has to test.
Cleveland medical offices: tiny loans, high cancellation floor
Medical offices for physicians rank tenth locally in Cleveland, 10 of 39, and the metro stands 34 of 488 nationally, with a location quotient of 0.43x. The 41 loans total only $11.9 million across FY2017 to FY2026. The midpoint of $100,000 in Cleveland translates to 0.29x against the national class, and loans from $50,000 to $400,000 make up the central half. These are practice-scale loans, not building purchases.
All 41 loans are 7(a), with none on 504, which fits a market that finances equipment, start-ups and practice acquisitions more than owner-occupied buildings. Franchise flags are absent (0.00%). On the holder list, The Huntington National Bank has 18 loans worth $2.8 million, and KeyBank National Association has 7 worth $1.2 million. Treat each holder entry as a record of loans held, nothing more, and not as a statement about underwriting.
Counties and loss floor
Cuyahoga County, OH has 21 loans, Medina County, OH 7 and Geauga County, OH 5. A floor of 20.0% describes cancellation for FY2017 to FY2024 approvals; the ceiling and charge-offs are suppressed on a thin cohort, which is no zero. That is the highest cancellation floor among the cells in this set.
From the yearly record: 5 loans and $330,400 in FY2017; 6 and $2.4 million in FY2020; 6 and $1.1 million in FY2021; 6 and $1.4 million in FY2022; 5 and $802,600 in FY2023; 6 and $1.3 million in FY2025. FY2019 and FY2026 are empty years, and FY2018 and FY2024 are held back. Read every Cleveland figure with the boundary in mind: it follows project counties under the 2023 delineation, not the loan's mailing address.
What a Cleveland medical office study has to test
The study tests the physician population, referral patterns, payer mix and competing practices, then sets a purchase or build-out cost against the $100,000 median and shows collections carrying debt service coverage. A practice buying its building would move into a different range from the one these loans occupy. The appraisal values goodwill apart from property. Loan Analytics issues each Cleveland report under the name of Daniel Smith, MAI, and makes no promise about what a lender will decide.
SBA medical office (physicians) loans in the Cleveland, OH Metro Area
| Loans approved, FY2017 to FY2026 | 41 |
|---|---|
| Gross dollars approved | $11.9 million |
| Median loan | $100,000 |
| Middle half of loans, from | $50,000 |
| Middle half of loans, to | $400,000 |
| SBA 7(a) loans | 41 |
| SBA 504 loans | 0 |
| Franchise share of loans | 0.00% |
| Rank among metro and micro areas for medical office (physicians) loans | 34 of 488 |
| Rank of medical office (physicians) among the classes in this area | 10 of 39 |
| Location quotient (share of loans against the national share) | 0.43x |
| Median loan against the national median for the class | 0.29x |
Cancellation and charge-off
| Cancelled after approval, FY2017 to FY2024 approvals (a floor) | 20.0% |
|---|---|
| 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 Cleveland, OH Metro Area, by fiscal year
| Fiscal year | Loans | Dollars |
|---|---|---|
| FY2017 | 5 | $330,400 |
| FY2018 | withheld | withheld |
| FY2019 | 0 | $0 |
| FY2020 | 6 | $2.4 million |
| FY2021 | 6 | $1.1 million |
| FY2022 | 6 | $1.4 million |
| FY2023 | 5 | $802,600 |
| FY2024 | withheld | withheld |
| FY2025 | 6 | $1.3 million |
| FY2026 | 0 | $0 |
Most active SBA lenders
| Lender | Loans | Dollars |
|---|---|---|
| The Huntington National Bank | 18 | $2.8 million |
| KeyBank National Association | 7 | $1.2 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 |
|---|---|
| Cuyahoga County, OH | 21 |
| Medina County, OH | 7 |
| Geauga County, OH | 5 |
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-17410-C32.
Related feasibility study pages
- Feasibility studies for medical office projects
- Feasibility Study Data for the Cleveland, OH Metro Area
- Medical Office Feasibility Study in Ohio
- Ohio feasibility studies for SBA and USDA loans
- Feasibility Study Data by Metro Area
- SBA feasibility study consultant
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Loan Analytics prepares the feasibility study a lender reads before it commits: for a medical office (physicians) project in the Cleveland, OH 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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