Medical Office Feasibility Study in the Orlando-Kissimmee-Sanford, FL Metro Area
What SBA's own loan files show about medical office (physicians) lending in the Orlando-Kissimmee-Sanford, FL Metro Area, and what a feasibility study for a project there has to test.
Medical offices punch above their weight in Orlando
Medical offices are 4 of 39 classes in the Orlando area, and the location quotient of 1.88x shows the class carries far more weight here than in the country at large. SBA recorded 129 loans in FY2017 to FY2026, $90.9 million gross, 14 of 488 nationally. Orange County has 63 loans, Seminole 29, Lake 20 and Osceola 17.
The median is $452,000, 1.32x the national median, with quartiles at $200,000 and $841,000. The program mix is 89 loans on 7(a) and 40 on 504. No franchise share is printed; Loan Analytics withholds it for this cell.
Holders
The 504 side belongs to Florida Business Development Corporation: 21 loans and $19.4 million, the clearest concentration in the table. Banks, each with 6 loans: Live Oak Banking Company ($11.3 million); Bank of America, National Association ($4.7 million); Regions Bank ($2.2 million); Celtic Bank Corporation ($1.5 million); BayFirst National Bank ($1.1 million). The equal counts mean the bank side is evenly spread. Everything here comes from SBA files on holdings and does not describe present standards.
Outcomes
Orlando medical office approvals were cancelled at a floor of 18.0%; the ceiling is withheld. The charge-off rate is also withheld, and withheld does not mean zero. A lender facing such a floor will probably want licensure, payer contracts and the lease or purchase settled before funding.
Orange County has 63 loans, Seminole County 29, Lake County 20 and Osceola County 17, so Orange County alone holds close to half of the loans. A suite near a hospital campus and a suite in a strip centre face different referral flows, and the study should state which applies. With 40 loans in the 504 column the record shows a sizeable group of borrowers on the real-estate program, so the study should cover the property's value and not only the practice's income.
Orlando medical office work should test patient load by specialty, who refers to the practice, payer mix, leasing versus owning the suite, build-out cost, and coverage at a loan near $452,000. Orlando's 129 medical office loans sit in Orange, Seminole, Lake and Osceola, counties the July 2023 delineation names; a practice in a county absent from that list would not be counted, so 129 is a floor.
SBA medical office (physicians) loans in the Orlando-Kissimmee-Sanford, FL Metro Area
| Loans approved, FY2017 to FY2026 | 129 |
|---|---|
| Gross dollars approved | $90.9 million |
| Median loan | $452,000 |
| Middle half of loans, from | $200,000 |
| Middle half of loans, to | $841,000 |
| SBA 7(a) loans | 89 |
| SBA 504 loans | 40 |
| Franchise share of loans | withheld |
| Rank among metro and micro areas for medical office (physicians) loans | 14 of 488 |
| Rank of medical office (physicians) among the classes in this area | 4 of 39 |
| Location quotient (share of loans against the national share) | 1.88x |
| Median loan against the national median for the class | 1.32x |
Cancellation and charge-off
| Cancelled after approval, FY2017 to FY2024 approvals (a floor) | 18.0% |
|---|---|
| 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 Orlando-Kissimmee-Sanford, FL Metro Area, by fiscal year
| Fiscal year | Loans | Dollars |
|---|---|---|
| FY2017 | 9 | $1.5 million |
| FY2018 | 9 | $4.6 million |
| FY2019 | 12 | $3.6 million |
| FY2020 | 19 | $13.3 million |
| FY2021 | 19 | $13.4 million |
| FY2022 | 7 | $5.1 million |
| FY2023 | 9 | $7.1 million |
| FY2024 | 16 | $14.3 million |
| FY2025 | 15 | $18.4 million |
| FY2026 | 14 | $9.6 million |
Most active SBA lenders
| Lender | Loans | Dollars |
|---|---|---|
| Florida Business Development Corporation | 21 | $19.4 million |
| Lender | Loans | Dollars |
|---|---|---|
| Live Oak Banking Company | 6 | $11.3 million |
| Bank of America, National Association | 6 | $4.7 million |
| Regions Bank | 6 | $2.2 million |
| Celtic Bank Corporation | 6 | $1.5 million |
| BayFirst National Bank | 6 | $1.1 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 |
|---|---|
| Orange County, FL | 63 |
| Seminole County, FL | 29 |
| Lake County, FL | 20 |
| Osceola County, FL | 17 |
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-36740-C32.
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