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 FY2026 | 76 |
|---|---|
| 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) loans | withheld |
| SBA 504 loans | withheld |
| Franchise share of loans | 0.00% |
| Rank among metro and micro areas for medical office (physicians) loans | 21 of 488 |
| Rank of medical office (physicians) among the classes in this area | 12 of 39 |
| Location quotient (share of loans against the national share) | 0.65x |
| Median loan against the national median for the class | 0.58x |
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
| Fiscal year | Loans | Dollars |
|---|---|---|
| FY2017 | 5 | $450,000 |
| FY2018 | withheld | withheld |
| FY2019 | 7 | $4.8 million |
| FY2020 | withheld | withheld |
| FY2021 | 11 | $5.3 million |
| FY2022 | 5 | $6.5 million |
| FY2023 | withheld | withheld |
| FY2024 | withheld | withheld |
| FY2025 | 15 | $5.5 million |
| FY2026 | 8 | $8.7 million |
Most active SBA lenders
| Lender | Loans | Dollars |
|---|---|---|
| U.S. Bank, National Association | 16 | $7.4 million |
| KeyBank National Association | 10 | $1.9 million |
| JPMorgan Chase Bank, National Association | 6 | $633,000 |
| BayFirst National Bank | 5 | $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
| County | Loans |
|---|---|
| King County, WA | 43 |
| Pierce County, WA | 24 |
| Snohomish County, WA | 9 |
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.
Related feasibility study pages
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- Feasibility Study Data for the Seattle-Tacoma-Bellevue, WA Metro Area
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- Washington feasibility study company
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- Feasibility studies for SBA 7(a) and 504 loans
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