Medical Office Feasibility Study in the Sacramento-Roseville-Folsom, CA Metro Area

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

Medical offices in Sacramento and beyond

Sacramento, Roseville and Folsom brings 24 of 488 in the area ranking for medical office (physicians) loans and 10 of 39 in Sacramento, Roseville and Folsom’s class list. A 1.05x location quotient puts the share of local loans almost level with the national mix. SBA's files carry 69 loans for $54.4 million from FY2017 to FY2026. Half of Sacramento, Roseville and Folsom medical office loans fall from $210,000 to $1.1 million, around a $610,000 median that is 1.78x of the national medical office median. Loans here run larger than the national class median.

In Sacramento, Roseville and Folsom, medical office borrowers picked SBA 7(a) 48 times and SBA 504 21 times. The Mortgage Capital Development Corporation and Greater Sacramento Certified Development Corporation each hold 7 of the 504 loans, for $11.2 million and $7.1 million. For 7(a), U.S. Bank, National Association has 9 loans at $3.8 million, and Wells Fargo Bank National Association has 5 at $3.8 million. Franchise ownership reads 0.00%. Sacramento County supplies 38 of the 69 loans. Treat Sacramento, Roseville and Folsom lender counts as SBA’s holder record, saying nothing of The Mortgage Capital Development Corporation’s requirements. Loans, not lending policy.

On medical office loans in Sacramento, Roseville and Folsom, the FY2017 to FY2024 cohorts lost 21.6% or more to cancellation, a minimum, not an estimate. With undisbursed medical office loans in Sacramento, Roseville and Folsom treated as cancelled, the ceiling stays 21.6%. Looking at medical office in Sacramento, Roseville and Folsom, Sacramento medical offices show no charge-off rate, since Loan Analytics holds one back when few loans exist; withheld never means zero. Year by year, Sacramento, Roseville and Folsom has 12 loans and $9.3 million in FY2017, 7 and $5.4 million in FY2018, 7 and $5.3 million in FY2021, 7 and $6.8 million in FY2022, 5 and $4.8 million in FY2023, 7 and $5.8 million in FY2024, 10 and $6.4 million in FY2025, and 8 and $4.4 million in FY2026.

What a Sacramento study has to test

Sacramento medical offices need testing on referral base and payer mix for the specialty, the premises, owned or rented, and their cost per square foot, tenant improvement scope, and whether one practice can carry the note. In the appraisal the building must be valued apart from the going concern. Which medical office loans fall in the Sacramento, Roseville and Folsom area is set through the project county against the July 2023 boundaries, and a loan whose county does not match goes uncounted. These figures are context for a medical office study here, and funding is not guaranteed. The 21.6% cancellation floor in particular deserves a direct question to any lender about how many approvals reached closing.

SBA medical office (physicians) loans in the Sacramento-Roseville-Folsom, CA Metro Area

Loans approved, FY2017 to FY202669
Gross dollars approved$54.4 million
Median loan$610,000
Middle half of loans, from$210,000
Middle half of loans, to$1.1 million
SBA 7(a) loans48
SBA 504 loans21
Franchise share of loans0.00%
Rank among metro and micro areas for medical office (physicians) loans24 of 488
Rank of medical office (physicians) among the classes in this area10 of 39
Location quotient (share of loans against the national share)1.05x
Median loan against the national median for the class1.78x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor)21.6%
The same, counting loans still undisbursed as cancelled (a ceiling)21.6%
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 Sacramento-Roseville-Folsom, CA Metro Area, by fiscal year

02.557.51012.5FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 12Loans, FY2018: 7Loans, FY2021: 7Loans, FY2022: 7Loans, FY2023: 5Loans, FY2024: 7Loans, FY2025: 10Loans, FY2026: 8
Fiscal yearLoansDollars
FY201712$9.3 million
FY20187$5.4 million
FY2019withheldwithheld
FY2020withheldwithheld
FY20217$5.3 million
FY20227$6.8 million
FY20235$4.8 million
FY20247$5.8 million
FY202510$6.4 million
FY20268$4.4 million

Most active SBA lenders

SBA 504: lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
The Mortgage Capital Development Corporation7$11.2 million
Greater Sacramento Certified Development Corporation7$7.1 million
SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
U.S. Bank, National Association9$3.8 million
Wells Fargo Bank National Association5$3.8 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
Sacramento County, CA38

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-40900-C32.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a medical office (physicians) project in the Sacramento-Roseville-Folsom, 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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