Medical Office Feasibility Study in the Los Angeles-Long Beach-Anaheim, CA Metro Area

What SBA's own loan files show about medical office (physicians) lending in the Los Angeles-Long Beach-Anaheim, CA Metro Area, and what a feasibility study for a project there has to test.

The Los Angeles record for medical offices for physicians

SBA's records carry 611 approvals for physician offices in Los Angeles from FY2017 to FY2026, with $634.6 million in gross dollars committed. Smaller tickets cluster near $254,400; the larger end of the usual range reaches $1.4 million. Loan size here is anchored by $665,000; that puts the typical loan at 1.94x the nationwide class median. Set beside the national mix, physician offices fill a larger place of Los Angeles lending, a location quotient of 1.55x. Across the country Los Angeles stands 1 of 488 over metro and micro areas for these approvals, and locally the class stands 5 of 39 against its local peers.

Programs, franchises and lenders in Los Angeles

No franchise share appears for this cell: Loan Analytics withholds it because too few loans sit behind it. The program split is 409 loans under 7(a) and 202 under 504; this split reports a borrower which route physician offices borrowers use in Los Angeles. In the 504 table in Los Angeles, the largest holder is California Statewide Certified Development Corporation, with 68 loans and $110.7 million; Business Finance Capital ranks second at 53, and CDC Small Business Finance Corp. follows at 33. Under 7(a) lending, JPMorgan Chase Bank, National Association (46 loans), then U.S. Bank, National Association (45 loans) plus Wells Fargo Bank National Association (39). Each name listed currently holds its loans according to SBA, so the table lists present holders and is no guide to anyone's lending practice.

Where in Los Angeles and when

420 loans, the whole count, fall in Los Angeles County, CA in Los Angeles. Volume was highest in FY2025, with 85 loans worth $95.7 million, and lowest in FY2019, with 33 approvals worth $27.3 million.

Cancellation rates, charge-offs and the boundaries of the record in Los Angeles

Assignment to Los Angeles rests on the county of the project, paired by name to the July 2023 metro and micro boundaries; medical office loans beyond that match are left out here, which keeps these counts conservative. Losses appear as 2.2% written off so far for doctors' offices in Los Angeles, out of a 231-loan FY2017 to FY2021 cohort and again a floor, and Loan Analytics withholds the five-year figure. Looking at cancellations, Los Angeles medical offices for physicians show 13.6%, a minimum, for loans of FY2017 to FY2024; 18.1% is the ceiling once undisbursed loans are included.

Testing a physician offices project in Los Angeles

First of all, Los Angeles demand has to be tested: payer mix across plans, and panel size per physician. The approval history of 611 loans reflects what lenders have done for doctors' offices, and is silent on a specific corner. Whether SBA or a lender approves lies outside any study; what a Los Angeles study of physician offices can do is tie the project to the 611 loans above. Then, Los Angeles doctors' offices require a coverage ratio that stays adequate through a slow opening, since the cancellation and charge-off floors prove that not every approved loan goes to plan. The cost side covers exam and procedure rooms as well as records and billing systems, and the medical office total should be read against the middle half of Los Angeles loans, $254,400 to $1.4 million. An appraiser for a Los Angeles project will have to speak to physician transition risk and buildout cost against value.

SBA medical office (physicians) loans in the Los Angeles-Long Beach-Anaheim, CA Metro Area

Loans approved, FY2017 to FY2026611
Gross dollars approved$634.6 million
Median loan$665,000
Middle half of loans, from$254,400
Middle half of loans, to$1.4 million
SBA 7(a) loans409
SBA 504 loans202
Franchise share of loanswithheld
Rank among metro and micro areas for medical office (physicians) loans1 of 488
Rank of medical office (physicians) among the classes in this area5 of 39
Location quotient (share of loans against the national share)1.55x
Median loan against the national median for the class1.94x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor)13.6%
The same, counting loans still undisbursed as cancelled (a ceiling)18.1%
Charged off to date, FY2017 to FY2021 disbursed loans (a floor)2.2%
Charged off within five years of approvalwithheld
Loans in that cohort231

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 Los Angeles-Long Beach-Anaheim, CA Metro Area, by fiscal year

020406080100FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 62Loans, FY2018: 58Loans, FY2019: 33Loans, FY2020: 63Loans, FY2021: 56Loans, FY2022: 63Loans, FY2023: 59Loans, FY2024: 69Loans, FY2025: 85Loans, FY2026: 63
Fiscal yearLoansDollars
FY201762$55.0 million
FY201858$55.0 million
FY201933$27.3 million
FY202063$51.3 million
FY202156$67.6 million
FY202263$74.9 million
FY202359$65.0 million
FY202469$82.7 million
FY202585$95.7 million
FY202663$60.1 million

Most active SBA lenders

SBA 504: lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
California Statewide Certified Development Corporation68$110.7 million
Business Finance Capital53$78.3 million
CDC Small Business Finance Corp.33$36.7 million
The Mortgage Capital Development Corporation20$52.9 million
Southland Economic Development Corporation13$14.6 million
SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
JPMorgan Chase Bank, National Association46$18.9 million
U.S. Bank, National Association45$37.5 million
Wells Fargo Bank National Association39$34.8 million
Newtek Bank, National Association22$12.1 million
Enterprise Bank & Trust15$12.3 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

CountyLoans
Los Angeles County, CA420
Orange County, CA191

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-31080-C32.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a medical office (physicians) project in the Los Angeles-Long Beach-Anaheim, CA 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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