Medical Office Feasibility Study in the St. Louis, MO-IL Metro Area
What SBA's own loan files show about medical office (physicians) lending in the St. Louis, MO-IL Metro Area, and what a feasibility study for a project there has to test.
Physician offices in a two-state metro
St. Louis takes 48 of 488 among areas for medical office (physicians) loans, and medical office (physicians) holds 12 of 39 among St. Louis's classes. The cell counts 30 approved loans worth $17.6 million over FY2017 to FY2026, with 14 in St. Louis County, MO and 5 in St. Louis city, MO. Medical office (physicians) loans take a smaller share of SBA lending in St. Louis than nationally (location quotient 0.56x). With the quotient under one, the medical office (physicians) class is lighter in St. Louis than its national weight.
Median loan size is $287,950; against the national median across physician offices that is 0.84x, and the middle half of loans spans $77,625 up to $445,000. 7(a) accounts for 25 loans and 504 for 5, out of 30. At 0.00%, St. Louis's franchise share is nil. A lender weighing St. Louis should remember that these medical office (physicians) figures cover SBA-recorded loans only, so a plan in St. Louis needs separate proof of revenue.
Who holds loans, and when
U.S. Bank, National Association: 5 of the 7(a) loans, $445,300. Holding is the merely thing reported; no credit policy is described. The page prints two years: FY2018 with 6 loans and $1.2 million, and FY2021 with 5 loans and $5.9 million. Loan Analytics holds back St. Louis's two outcome rates since the St. Louis FY2017-to-FY2021 cohort has below 30 loans, so in St. Louis Loan Analytics' own rule applies. A withheld rate in St. Louis does not mean none.
For a lender, the contrast between FY2018 and FY2021 shows how much a few larger loans can move a small cell. For a borrower, the band is broad sufficient to cover a leased suite and a purchased building. The county rows show most precedents come from St. Louis County, MO, so a site in Illinois has fewer local comparisons.
Where a study for St. Louis has to dig
A physician office plan in the St. Louis area should estimate the patients a practice can draw, the exam rooms the space supports, and the time a new physician requires to reach a full schedule. Show payment cover on a loan near $287,950 and a case with sluggish referrals, and have any building valued apart from the practice. The federal delineation draws St. Louis, and loans from counties St. Louis cannot match stay left out of the totals.
SBA medical office (physicians) loans in the St. Louis, MO-IL Metro Area
| Loans approved, FY2017 to FY2026 | 30 |
|---|---|
| Gross dollars approved | $17.6 million |
| Median loan | $287,950 |
| Middle half of loans, from | $77,625 |
| Middle half of loans, to | $445,000 |
| SBA 7(a) loans | 25 |
| SBA 504 loans | 5 |
| Franchise share of loans | 0.00% |
| Rank among metro and micro areas for medical office (physicians) loans | 48 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) | 0.56x |
| Median loan against the national median for the class | 0.84x |
Cancellation and charge-off
| Cancelled after approval, FY2017 to FY2024 approvals (a floor) | not reported: fewer than 30 loans in the cohort |
|---|---|
| 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 St. Louis, MO-IL Metro Area, by fiscal year
| Fiscal year | Loans | Dollars |
|---|---|---|
| FY2017 | withheld | withheld |
| FY2018 | 6 | $1.2 million |
| FY2019 | withheld | withheld |
| FY2020 | withheld | withheld |
| FY2021 | 5 | $5.9 million |
| FY2022 | withheld | withheld |
| FY2023 | withheld | withheld |
| FY2024 | withheld | withheld |
| FY2025 | withheld | withheld |
| FY2026 | withheld | withheld |
Most active SBA lenders
| Lender | Loans | Dollars |
|---|---|---|
| U.S. Bank, National Association | 5 | $445,300 |
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 |
|---|---|
| St. Louis County, MO | 14 |
| St. Louis city, MO | 5 |
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-41180-C32.
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