Medical Office Feasibility Study in the Seattle-Tacoma-Bellevue, WA Metro Area

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

Seattle medical: a physician-office record built on small tickets

Inside Seattle, Tacoma and Bellevue the medical office (physicians) class ranks 12 of 39; against all areas, Seattle, Tacoma and Bellevue ranks 21 of 488 for the class. A location quotient of 0.65x tells us physician offices carry a thinner slice of local SBA lending than their weight elsewhere. For FY2017 to FY2026, SBA's files hold 76 loans and $42.9 million. At $200,000, the median is 0.58x of the national medical office median; ordinary loans run $59,125 to $608,875.

Franchise ownership reads 0.00%. King County accounts for 43 loans, Pierce County 24 and Snohomish County 9. The lender list is bank-led: U.S. Bank, National Association holds 16 loans for $7.4 million, KeyBank National Association 10 for $1.9 million, JPMorgan Chase Bank, National Association 6 for $633,000, and BayFirst National Bank 5 for $606,200. The division between the two programs is withheld by Loan Analytics because the loans behind it are few; missing never means zero. The lender table is SBA's holder record, with no claim about the criteria of U.S. Bank, National Association. This is a holding record.

For medical office loans in the area, the FY2017 to FY2024 cohorts show cancellation of 9.4% or more, counted only as SBA logged. The ceiling, with undisbursed loans cancelled, also reads 9.4%. The floor for charged-off loans is withheld by Loan Analytics because the loans behind it are few; missing never means zero. Annual counts stay small: 5 loans and $450,000 in FY2017, 7 and $4.8 million in FY2019, 11 and $5.3 million in FY2021, 5 and $6.5 million in FY2022, then 15 and $5.5 million in FY2025 and 8 and $8.7 million in FY2026. Other years rest on too few loans to print.

Seattle medical: testing a physician office plan

A physician-office study needs patient demand and payer mix for the specialty, build-out cost against tenant improvement allowances, the lease or ownership structure, and coverage of debt service for a practice whose income rests on a few clinicians. A buyer of an existing practice also needs goodwill separated from the real estate in the appraisal. A medical office loan counts here when the county of its project is on the July 2023 metro map. No county match, no inclusion. The middle half of loans runs from $59,125 to $608,875, so the study should test coverage near both ends. Read the figures as background for a physician-office study; they imply no approval.

SBA medical office (physicians) loans in the Seattle-Tacoma-Bellevue, WA Metro Area

Loans approved, FY2017 to FY202676
Gross dollars approved$42.9 million
Median loan$200,000
Middle half of loans, from$59,125
Middle half of loans, to$608,875
SBA 7(a) loanswithheld
SBA 504 loanswithheld
Franchise share of loans0.00%
Rank among metro and micro areas for medical office (physicians) loans21 of 488
Rank of medical office (physicians) among the classes in this area12 of 39
Location quotient (share of loans against the national share)0.65x
Median loan against the national median for the class0.58x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor)9.4%
The same, counting loans still undisbursed as cancelled (a ceiling)9.4%
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 Seattle-Tacoma-Bellevue, WA Metro Area, by fiscal year

051015FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 5Loans, FY2019: 7Loans, FY2021: 11Loans, FY2022: 5Loans, FY2025: 15Loans, FY2026: 8
Fiscal yearLoansDollars
FY20175$450,000
FY2018withheldwithheld
FY20197$4.8 million
FY2020withheldwithheld
FY202111$5.3 million
FY20225$6.5 million
FY2023withheldwithheld
FY2024withheldwithheld
FY202515$5.5 million
FY20268$8.7 million

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
U.S. Bank, National Association16$7.4 million
KeyBank National Association10$1.9 million
JPMorgan Chase Bank, National Association6$633,000
BayFirst National Bank5$606,200

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
King County, WA43
Pierce County, WA24
Snohomish County, WA9

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-42660-C32.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a medical office (physicians) project in the Seattle-Tacoma-Bellevue, WA 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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