SBA 7(a) Medical Office Feasibility Study in Alabama
What SBA's own loan files show about SBA 7(a) lending to medical office (physicians) projects in Alabama, and what a feasibility study for an SBA 7(a) loan there has to test.
Medical office loans in Alabama: size and franchising
The file for Alabama physicians' offices under SBA 7(a) holds 34 loans from FY2017 to FY2026 and $11.9 million of gross dollars. From $101,000 to $462,500 covers the middle half of the Alabama loans, around a median of $200,000. The ratio of the Alabama median to the physicians' offices median nationwide under SBA 7(a) is 0.80x, so a typical Alabama loan for physicians' offices runs smaller than nationwide. The franchise share is 0.00%; owners of Alabama physicians' offices operate independently.
By number of loans, Alabama sits at rank 35 for 7(a) lending to physicians' offices, and the class stands 11 of 39 among the classes in Alabama. Approvals in Alabama peaked in FY2024 at 9 loans worth $2.2 million, while FY2026 shows 1 loans and $200,000. Alabama ranks low by count for 7(a) physicians' offices, yet the class sits fairly high among the state's own classes, giving the program more weight at home than the national table implies.
No holder table exists for 34 Alabama loans, so a medical office borrower asks lenders in Alabama directly. By area, Jefferson leads with 4 loans, then Mobile with 4 and Montgomery with 4. Lower on the list are Baldwin 3, Lauderdale 3 and Tuscaloosa 3.
Reading the outcome floors for Alabama physicians' offices
Given just 34 loans in Alabama, few Alabama approvals sit in the FY2024 cohort, and likewise Alabama charge-off counts stay unpublished. Nothing here asserts zero. Financing without SBA never enters Alabama's tables. A Alabama study of physicians' offices is read beside this record, never graded by it, and Alabama approval rests on the project.
Testing an Alabama medical practice
Referral relationships near Jefferson decide the schedule for specialists, so name where referrals will come from. Credentialing with insurers can delay revenue for months, and cash must carry the practice through that gap before payments on a loan near $200,000 begin. Reimbursement is the revenue risk; run the forecast on payer mix and collection days. A practice purchase needs a retention test after the sale. An appraiser values a medical building on conversion potential as well as on the practice. Alabama borrowers should keep the study and these loan records side by side, and say plainly where the practice differs from the typical physician office in the file.
SBA 7(a) medical office (physicians) loans in Alabama
| Loans approved, FY2017 to FY2026 | 34 |
|---|---|
| Gross dollars approved | $11.9 million |
| Median loan | $200,000 |
| Middle half of loans, from | $101,000 |
| Middle half of loans, to | $462,500 |
| Franchise share of loans | 0.00% |
| Rank among states for SBA 7(a) medical office (physicians) loans, by number of loans | 35 |
| Rank of medical office (physicians) among classes in Alabama | 11 of 39 |
| Median loan against the national SBA 7(a) median for the class | 0.80x |
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) | 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) medical office (physicians) loans approved in Alabama, by fiscal year
| Fiscal year | Loans | Dollars |
|---|---|---|
| FY2017 | 4 | $1.8 million |
| FY2018 | 2 | $350,000 |
| FY2019 | 0 | $0 |
| FY2020 | 4 | $1.7 million |
| FY2021 | 2 | $2.1 million |
| FY2022 | 1 | $785,700 |
| FY2023 | 4 | $903,000 |
| FY2024 | 9 | $2.2 million |
| FY2025 | 7 | $1.8 million |
| FY2026 | 1 | $200,000 |
Where the loans are, by county
| County | Loans |
|---|---|
| JEFFERSON | 4 |
| MOBILE | 4 |
| MONTGOMERY | 4 |
| BALDWIN | 3 |
| LAUDERDALE | 3 |
| TUSCALOOSA | 3 |
| MADISON | 2 |
| SHELBY | 2 |
| WINSTON | 2 |
| COLBERT | 1 |
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 SAP-AL-C32-7A.
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