SBA 7(a) Medical Office Feasibility Study in Missouri

Physician offices in Missouri: near-average, thinly documented

Missouri physician offices are a modest corner of the state's SBA 7(a) book. The decade produced 64 such approvals worth $25.0 million; Missouri is 24 among states, and the class is 10 of 39 at home. A median of $296,600 is 1.18x of the national benchmark; half the loans fall from $150,000 up to $499,625. Franchising is rare, at 3.1% of loans. The median is 1.18x the national benchmark, and the lender field is so dispersed that a single holder reaches the list.

One named holder, four main counties

UMB Bank, National Association holds 5 loans worth $2.2 million, the only holder with enough loans to list. The remainder of the book is spread across many institutions in small positions. These rows reflect which institution SBA lists as holder of each loan, not a description of any lender's policy. Jackson County has 11 loans, Saint Louis County 10, Greene 7, Cape Girardeau 6 and Saint Louis City 5, with Boone, Jasper, Platte and Saint Charles at 3 each.

Cancellations and the withheld rate

Lapsed approvals reach a floor of 10.2% through FY2024, with the harsher tally unchanged. Loan Analytics shows no charge-off percentage because the funded early group was too small, which leaves that outcome unmeasured and neither clean nor zero.

Practice economics to test in Missouri

Work on a practice must establish the physician's panel and referrals first: the specialty, patients who follow the doctor, and the hospitals and colleagues who send cases. Payer mix and reimbursement per visit drive revenue, and the time collections take sets working capital. Clinical and front-office staffing, malpractice cover and records systems are real costs. A median above the national level calls for a clear explanation of build-out, equipment and any purchase of goodwill or real estate. Competitive supply matters: the number of nearby practices in the specialty and their patient capacity. Show the payment cushion on a slower ramp and in months when a physician is away, and an appraisal should support any building. Sites in different Missouri counties need their own demand evidence, and the study should measure the catchment actually served. A lender reading the analysis will also want to know how repayment continues if the physician cannot practise for an extended period.