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 FY2026 | 311 |
|---|---|
| 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) loans | 248 |
| SBA 504 loans | 63 |
| Franchise share of loans | 1.9% |
| Rank among metro and micro areas for medical office (physicians) loans | 3 of 488 |
| Rank of medical office (physicians) among the classes in this area | 2 of 39 |
| Location quotient (share of loans against the national share) | 1.44x |
| Median loan against the national median for the class | 1.10x |
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
| Fiscal year | Loans | Dollars |
|---|---|---|
| FY2017 | 19 | $7.2 million |
| FY2018 | 23 | $15.3 million |
| FY2019 | 26 | $14.6 million |
| FY2020 | 17 | $20.2 million |
| FY2021 | 39 | $39.3 million |
| FY2022 | 27 | $30.9 million |
| FY2023 | 32 | $17.9 million |
| FY2024 | 46 | $30.4 million |
| FY2025 | 44 | $21.7 million |
| FY2026 | 38 | $38.1 million |
Most active SBA lenders
| Lender | Loans | Dollars |
|---|---|---|
| Florida Business Development Corporation | 32 | $33.8 million |
| Lender | Loans | Dollars |
|---|---|---|
| TD Bank, National Association | 43 | $16.2 million |
| Newtek Bank, National Association | 18 | $9.8 million |
| JPMorgan Chase Bank, National Association | 18 | $3.0 million |
| Wells Fargo Bank National Association | 17 | $14.1 million |
| The Huntington National Bank | 15 | $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
| County | Loans |
|---|---|
| Miami-Dade County, FL | 150 |
| Broward County, FL | 90 |
| Palm Beach County, FL | 71 |
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.
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