Medical Office Feasibility Study in Wisconsin

What SBA's own loan files show about medical office (physicians) lending in Wisconsin, and what a feasibility study for a project there has to test.

Wisconsin physician offices: a light presence

The location quotient is the first thing to notice for Wisconsin medical offices: 0.30x, meaning physician practices take a very small share of the state's SBA lending when set beside the national share. Over the FY2017 to FY2026 window the cell logged 48 approvals worth $30.8 million. Wisconsin sits 33 of 53 among states, and within Wisconsin physician offices hold slot 19 of 39. The $250,000 median equals 0.73x the nationwide typical loan, with the middle half of loans stretching $97,500 to $645,750. Nothing here is distinct enough from the parents to lead the page, so national medical office pages describe the economics well and this page supplies scale and local detail.

SBA 7(a) funded 38 of the Wisconsin loans and 504 funded 10, while no borrower reports a franchise, 0.00%, as one expects for physician practices. American National Bank-Fox Cities is the single lender at or above the 5-loan mark, with $803,000 across them, a small average that tells us no institution dominates and the typical ticket funds equipment and improvements. Milwaukee County has 11 loans, Dane and Waukesha 8 each, Outagamie 6, and Eau Claire and Kenosha 3, so the southeast, Madison and the Fox Valley carry the cell.

Low cancellation, uneven years

Cancellation reached a floor of 5.0% on approvals through FY2024, with the same ceiling. Counts moved from 2 in FY2017 to 7 in FY2019 and again in FY2021, and FY2021 brought $7.9 million, the largest dollar year. FY2025 shows 3 loans worth $950,000, and FY2026, which closed the window, shows 5 loans worth $3.4 million. No charge-off rate is published for Wisconsin physician offices, since the disbursed group lacks the depth to support one, and the omission is not a statement about losses.

Diligence for a Wisconsin practice

A feasibility study for a Wisconsin medical office should test the physician before the building. Demand here means patient counts for the specialty, who refers to the practice, whether it has hospital privileges and which payer contracts set its reimbursement. Supply is the set of practices already working the catchment, plus the question of whether the doctor can be recruited and kept in a market with strong health systems. Because physician offices are such a small share of the state's SBA book, a lender should ask whether the sponsor is a single practice or part of a group, and whether a health system could outcompete a new office in the same neighborhood. Cost runs through shell, exam rooms and equipment. Debt service coverage should use collections after a ramp period. The appraisal should value the property for a second medical tenant.

SBA 7(a) and 504 medical office (physicians) loans in Wisconsin

Loans approved, FY2017 to FY202648
Gross dollars approved$30.8 million
Median loan$250,000
Middle half of loans, from$97,500
Middle half of loans, to$645,750
SBA 7(a) loans38
SBA 504 loans10
Franchise share of loans0.00%
Rank among states for medical office (physicians) loans33 of 53
Rank of medical office (physicians) among classes in Wisconsin19 of 39
Location quotient (share of loans against the national share)0.30x
Median loan against the national median for the class0.73x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor) 5.0%
The same, counting loans still undisbursed as cancelled (a ceiling)5.0%
Charged off to date, FY2017 to FY2021 disbursed loans (a floor) not reported: fewer than 30 loans in the cohort

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 7(a) and 504 medical office (physicians) loans approved in Wisconsin, by fiscal year

02468FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 2Loans, FY2018: 4Loans, FY2019: 7Loans, FY2020: 5Loans, FY2021: 7Loans, FY2022: 6Loans, FY2023: 6Loans, FY2024: 3Loans, FY2025: 3Loans, FY2026: 5
Fiscal yearLoansDollars
FY20172$350,000
FY20184$1.1 million
FY20197$1.5 million
FY20205$462,000
FY20217$7.9 million
FY20226$7.3 million
FY20236$5.2 million
FY20243$2.7 million
FY20253$950,000
FY20265$3.4 million

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
American National Bank-Fox Cities5$803,000

Where the loans are, by county

CountyLoans
MILWAUKEE11
DANE8
WAUKESHA8
OUTAGAMIE6
EAU CLAIRE3
KENOSHA3
ROCK2
BROWN1
JEFFERSON1
LA CROSSE1

Source: U.S. Small Business Administration, 7(a) and 504 loan-level FOIA files (data.sba.gov), as of 2026-09-30; Loan Analytics loan-outcome cell SA-WI-C32.

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