Medical Office Feasibility Study in the Minneapolis-St. Paul-Bloomington, MN-WI Metro Area

What SBA's own loan files show about medical office (physicians) lending in the Minneapolis-St. Paul-Bloomington, MN-WI Metro Area, and what a feasibility study for a project there has to test.

Physician offices barely register in SBA lending around the Twin Cities. A location quotient of 0.31x sits far below parity, the class stands at 17 of 39 locally, and the area still lands 28th among 488 for physician offices, a position it owes to the metro's sheer size. Across FY2017 to FY2026 the record is 47 approvals for $21.6 million. At $207,000 the median loan reaches 0.61x the nation's class figure, while the bulk of loans begin at $87,500 and end at $749,000.

Hennepin County first, and 7(a) in front

Hennepin County, MN accounts for 28 loans, ahead of Ramsey County, MN with 6 and Dakota County, MN with 5. A project on the Wisconsin side belongs to the same metro. The book is 41 loans through 7(a) and 6 through 504, and the franchise share is 0.00%. SBA names no lenders for this cell.

A notable cancellation floor and sparse years

Cancellation after approval is at least 20.0% for FY2017 to FY2024 approvals, a considerable floor for a professional-office class. SBA hides the stricter cancellation measure and the charge-off rate. Only FY2020 with 11 loans and $3.2 million, FY2022 with 5 loans and $2.1 million and FY2023 with 9 loans and $5.4 million can be read; the rest are hidden, so there is no recent trend to cite.

Testing a Twin Cities medical office

A physician office is a real estate and tenant-improvement question wrapped around a practice. The study should identify who occupies the space, whether the practice is being bought, relocated or started, and the referral base behind it. Because physician offices are a small part of SBA lending here, the study cannot lean on neighbors; it must build comparables from leases and sales in the submarket, medical campus proximity and parking. Tenant-improvement cost, imaging or procedure room needs and the build-out timeline belong beside the $207,000 median. Patient access and parking in a cold climate matter more than the brochure suggests. Run the loan payment against a gradual rise in patient volume, and give an owner-user building its own appraisal. Placement follows the July 2023 map. Say, as well, which specialty is housed, the number of providers and exam rooms, and the lease terms offered to each tenant, since those figures are what a lender and an appraiser compare first.

SBA medical office (physicians) loans in the Minneapolis-St. Paul-Bloomington, MN-WI Metro Area

Loans approved, FY2017 to FY202647
Gross dollars approved$21.6 million
Median loan$207,000
Middle half of loans, from$87,500
Middle half of loans, to$749,000
SBA 7(a) loans41
SBA 504 loans6
Franchise share of loans0.00%
Rank among metro and micro areas for medical office (physicians) loans28 of 488
Rank of medical office (physicians) among the classes in this area17 of 39
Location quotient (share of loans against the national share)0.31x
Median loan against the national median for the class0.61x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor)20.0%
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 Minneapolis-St. Paul-Bloomington, MN-WI Metro Area, by fiscal year

02.557.51012.5FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2020: 11Loans, FY2022: 5Loans, FY2023: 9
Fiscal yearLoansDollars
FY2017withheldwithheld
FY2018withheldwithheld
FY2019withheldwithheld
FY202011$3.2 million
FY2021withheldwithheld
FY20225$2.1 million
FY20239$5.4 million
FY2024withheldwithheld
FY2025withheldwithheld
FY2026withheldwithheld

Where the loans are, by county

CountyLoans
Hennepin County, MN28
Ramsey County, MN6
Dakota County, MN5

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-33460-C32.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a medical office (physicians) project in the Minneapolis-St. Paul-Bloomington, MN-WI 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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