Medical Office Feasibility Study in the Miami-Fort Lauderdale-West Palm Beach, FL Metro Area

What SBA's own loan files show about medical office (physicians) lending in the Miami-Fort Lauderdale-West Palm Beach, FL Metro Area, and what a feasibility study for a project there has to test.

Medical offices in South Florida

SBA approved 311 medical office loans across Miami-Fort Lauderdale during FY2017 to FY2026, for $235.4 million gross. The area ranks 3 of 488 for the class nationally, and the class ranks 2 of 39 inside South Florida. The location quotient is 1.44x, so physician and clinic lending is more concentrated in South Florida than in the national book. Miami-Dade County holds 150 loans, Broward 90 and Palm Beach 71.

Median loan size is $375,000, 1.10x the national class median; the quartile band runs $150,000 to $912,000. That upper quartile reflects practice purchases and real-estate-backed projects, and the program mix agrees: 248 of them carried the 7(a) label and 63 the 504 label. The franchise share is 1.9%, which is expected for professional practices.

Lenders

Bank holders: TD Bank, National Association (43 loans, $16.2 million); Newtek Bank, National Association ($9.8 million across 18 loans); JPMorgan Chase Bank, National Association ($3.0 million across 18 loans); Wells Fargo Bank National Association ($14.1 million across 17 loans); The Huntington National Bank (15 loans, $6.2 million). The 504 development company listed is Florida Business Development Corporation (32 loans, $33.8 million), a large dollar total for a single holder.

South Florida holder names reflect loans these lenders hold or held. They show where past activity sits; they do not describe present criteria, and a borrower should not treat a long list as a promise of access.

Outcomes and the checklist for a study

Cancellations after approval run no lower than 14.8%, and 17.9% once undisbursed loans are tallied as cancelled, a wide gap that suggests a good number of approvals were never drawn. Charge-offs for Miami medical offices carry no printed rate, because it is withheld; do not assume one.

A medical office study has to test patient volume by specialty, referral patterns, payer mix, the lease or purchase economics of the space, and coverage at a loan near $375,000. Licensing and credentialing timelines belong in the schedule. Miami-Dade, Broward and Palm Beach practices count here once the county on the loan is recognised by the July 2023 delineation; an unrecognised county drops the medical office loan from every metro, which makes 311 a floor and nothing more.

SBA medical office (physicians) loans in the Miami-Fort Lauderdale-West Palm Beach, FL Metro Area

Loans approved, FY2017 to FY2026311
Gross dollars approved$235.4 million
Median loan$375,000
Middle half of loans, from$150,000
Middle half of loans, to$912,000
SBA 7(a) loans248
SBA 504 loans63
Franchise share of loans1.9%
Rank among metro and micro areas for medical office (physicians) loans3 of 488
Rank of medical office (physicians) among the classes in this area2 of 39
Location quotient (share of loans against the national share)1.44x
Median loan against the national median for the class1.10x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor)14.8%
The same, counting loans still undisbursed as cancelled (a ceiling)17.9%
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 Miami-Fort Lauderdale-West Palm Beach, FL Metro Area, by fiscal year

01020304050FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 19Loans, FY2018: 23Loans, FY2019: 26Loans, FY2020: 17Loans, FY2021: 39Loans, FY2022: 27Loans, FY2023: 32Loans, FY2024: 46Loans, FY2025: 44Loans, FY2026: 38
Fiscal yearLoansDollars
FY201719$7.2 million
FY201823$15.3 million
FY201926$14.6 million
FY202017$20.2 million
FY202139$39.3 million
FY202227$30.9 million
FY202332$17.9 million
FY202446$30.4 million
FY202544$21.7 million
FY202638$38.1 million

Most active SBA lenders

SBA 504: lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
Florida Business Development Corporation32$33.8 million
SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
TD Bank, National Association43$16.2 million
Newtek Bank, National Association18$9.8 million
JPMorgan Chase Bank, National Association18$3.0 million
Wells Fargo Bank National Association17$14.1 million
The Huntington National Bank15$6.2 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

CountyLoans
Miami-Dade County, FL150
Broward County, FL90
Palm Beach County, FL71

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-33100-C32.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a medical office (physicians) project in the Miami-Fort Lauderdale-West Palm Beach, FL 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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