Medical Office Feasibility Study in the Fresno, CA Metro Area

Fresno: physician offices at twice the national weight

Inside Fresno the medical office (physicians) class ranks 4 of 39; against all areas, Fresno ranks 34 of 488 for medical office (physicians). A location quotient of 2.14x is the cell's defining number: physician offices weigh more than twice their national share and rank fourth locally. SBA's files list 41 loans for $25.4 million, FY2017 to FY2026. Medical office borrowers in Fresno see a $400,000 median, 1.17x of the national medical office figure; ordinary loans run $231,000 to $804,000.

By count SBA 7(a) carries 22 medical office loans in Fresno; SBA 504 carries 19. A 504 share this large points to practice-owned buildings. SBA 7(a) lenders printed include FFB Bank (7 loans, $2.7 million). The Fresno lender table as whichever lender holds the paper, saying nothing of FFB Bank’s requirements. A record, not a policy. In the Fresno medical office cell, nothing prints for the share of branded loans given how few loans exist; absence is not nil.

In the Fresno medical office cell, nothing prints for a charge-off percentage as well as the cancelled-after-approval floor given how few loans exist; absence is not nil. $1.3 million in 5 loans, FY2018; $3.1 million in 5 loans, FY2019; and $8.3 million in 6 loans, FY2022.

The named lender holds only a handful of loans, so the lender list tells a borrower little; the program split and size band are the more useful signals in this cell.

What a Fresno practice study tests

A study should test the referral base and payer mix, the building price against local rents, the clinicians who will carry the practice, and debt service when income rests on a few providers. The appraisal must support real estate and goodwill separately. In Fresno, a medical office loan counts via a project county lookup per the July 2023 boundaries. Outside the map, nothing counts. Because the class weighs so heavily in this market, competing practices and shared medical buildings are common, and a study should map them carefully. It should also say whether the project is a in Fresno purchase of an existing practice, a ground-up building or a lease-hold build-out, since each path changes the loan structure and the appraisal. Loan Analytics gives this alongside a medical office venture within Fresno, where Daniel Smith, MAI, is signatory; credit is never pledged.