Medical Office Feasibility Study in the Dallas-Fort Worth-Arlington, TX Metro Area

Third of 488 areas for physician offices

For physician-office loans, Dallas-Fort Worth-Arlington ranks 3 of 488 areas, and inside it the class is sixth of 39. The file covers 311 approvals between FY2017 and FY2026 with $234.2 million in gross dollars. A location quotient of 1.61x puts doctors' offices well ahead of their weight in the national loan mix. Collin County supplies 91 loans, Tarrant County 88, Dallas County 73 and Denton County 39, while Parker and Rockwall counties have 6 each.

The median loan is $391,000, 1.14x the national median, and the inner half of the file stretches from $150,000 to $970,800: a practice that is buying into an existing group sits in the same file as a build-out of a new clinic. A franchise flag sits on just 1.6% of loans, so independent practices make up nearly all of the file. SBA 7(a) carries 283 loans and SBA 504 carries 28.

Lender holdings in the area

The tables show, as SBA reports them, the lenders now holding the loans. The 7(a) table shows Wells Fargo Bank National Association with 33 loans worth $29.6 million, JPMorgan Chase Bank, National Association on 28 worth $8.9 million, PNC Bank, National Association on 25 worth $34.2 million, The Huntington National Bank on 22 worth $16.8 million and Frost Bank on 15 worth $6.0 million. PNC's holdings are the largest per loan. LiftFund, Inc. has 6 504 loans worth $4.4 million. Such counts say what a lender holds, not what it would approve.

At least 15.2% of FY2017 to FY2024 approvals were cancelled before funding. Loan Analytics does not print the cancellation ceiling or the loss rate so far for this cell, so neither is shown; an absent figure is not a zero. Annual approvals ranged between 23 and 45 loans, with 45 in FY2017, 23 in FY2018 and again in FY2020, and 44 in FY2025, worth $33.4 million.

What a physician-office study has to test

A study must test patient volume per provider, payer mix and the referral base, the time a new physician needs to build a panel, and the effect of nearby hospital systems and urgent-care competitors. Cost covers tenant improvements to clinical standards, imaging or procedure rooms, and equipment. Debt service coverage should allow for credentialing delays that postpone revenue. When the borrower owns the building, the appraisal should say whether it is special-purpose space. A loan whose county name does not match the July 2023 list never enters an area total, so read each Dallas-Fort Worth count as a floor.