Medical Office Feasibility Study in the Las Vegas-Henderson-North Las Vegas, NV Metro Area
What SBA's own loan files show about medical office (physicians) lending in the Las Vegas-Henderson-North Las Vegas, NV Metro Area, and what a feasibility study for a project there has to test.
Clark County and a 504-heavy physicians' record
Every one of the 140 medical office loans in the Las Vegas area sits in Clark County. A location quotient of 2.34x puts the class far above its national weight, with a local rank of 3 of 39 and a national rank for the area of 11 of 488. Against a national median for the class, the $508,350 median loan is 1.49x, and half of loans fall from $176,625 to $1.0 million. SBA approved 140 loans between FY2017 and FY2026, worth $116.5 million.
An unusual program mix
The program split is 87 loans under SBA 7(a) and 53 under SBA 504, a share that shows heavy use of the real estate program. The Mortgage Capital Development Corporation alone has 32 504 loans on its books, worth $34.5 million. No loan is franchised, the printed share being 0.00%. Printed years show FY2017 with 13 loans, FY2018 with 16, FY2022 with 18 loans and $15.2 million, and FY2026 with 9; FY2020, FY2021 and FY2024 are withheld for lack of loans, and the blanks are not zeros.
7(a) holders
Zions Bancorporation, National Association leads 7(a) holders on count with 14 loans and $3.3 million; after which Wells Fargo Bank National Association has 11 loans and $6.8 million, U.S. Bank, National Association 9 worth $8.2 million, and Western Alliance Bank 5 worth $1.0 million. SBA reports the holder of today, and the table gives no guide to how any bank assesses a physician's application.
Cancellations
A minimum of 14.2% of FY2017 to FY2024 approvals ended in cancellation. Loan Analytics withholds the fuller cancellation measure and any charge-off rate for this cell, and neither should be assumed nil.
Testing a Las Vegas practice
A study should define the practice's payer mix and referral base, estimate the patient volume the site can serve and test collections against physician compensation, rent or ownership cost, and staff. Because 53 of these loans are under 504, the study should show whether the practice will own the building, how much space it needs and whether a future owner could re-let it to another medical user. The appraiser will test both the building and the practice earnings. Existing practices near the site have to be counted, since they set both demand and competition. Clark County is placed in a July 2023 area, and the limitation line on the page explains the rule.
SBA medical office (physicians) loans in the Las Vegas-Henderson-North Las Vegas, NV Metro Area
| Loans approved, FY2017 to FY2026 | 140 |
|---|---|
| Gross dollars approved | $116.5 million |
| Median loan | $508,350 |
| Middle half of loans, from | $176,625 |
| Middle half of loans, to | $1.0 million |
| SBA 7(a) loans | 87 |
| SBA 504 loans | 53 |
| Franchise share of loans | 0.00% |
| Rank among metro and micro areas for medical office (physicians) loans | 11 of 488 |
| Rank of medical office (physicians) among the classes in this area | 3 of 39 |
| Location quotient (share of loans against the national share) | 2.34x |
| Median loan against the national median for the class | 1.49x |
Cancellation and charge-off
| Cancelled after approval, FY2017 to FY2024 approvals (a floor) | 14.2% |
|---|---|
| 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 Las Vegas-Henderson-North Las Vegas, NV Metro Area, by fiscal year
| Fiscal year | Loans | Dollars |
|---|---|---|
| FY2017 | 13 | $11.7 million |
| FY2018 | 16 | $7.0 million |
| FY2019 | 14 | $9.7 million |
| FY2020 | withheld | withheld |
| FY2021 | withheld | withheld |
| FY2022 | 18 | $15.2 million |
| FY2023 | 15 | $6.7 million |
| FY2024 | withheld | withheld |
| FY2025 | 11 | $13.4 million |
| FY2026 | 9 | $10.1 million |
Most active SBA lenders
| Lender | Loans | Dollars |
|---|---|---|
| The Mortgage Capital Development Corporation | 32 | $34.5 million |
| Lender | Loans | Dollars |
|---|---|---|
| Zions Bancorporation, National Association | 14 | $3.3 million |
| Wells Fargo Bank National Association | 11 | $6.8 million |
| U.S. Bank, National Association | 9 | $8.2 million |
| Western Alliance Bank | 5 | $1.0 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 |
|---|---|
| Clark County, NV | 140 |
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-29820-C32.
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