SBA 7(a) Medical Office Feasibility Study in Nevada

Las Vegas carries almost the whole record

In Nevada, physicians' offices financed under SBA 7(a) are overwhelmingly a Clark County story: 87 of the loans, against 10 in Washoe and a single loan each in Carson City, Churchill, Douglas, Elko and Humboldt. That concentration is what a study here must absorb, because a practice in a rural county has almost no close precedent in this record. The state recorded 103 loans worth $70.6 million, stands 18 among states for loan count, and ranks the class 4 of 39 inside Nevada.

The median loan of $410,000 is 1.63x the nationwide 7(a) typical for physician offices, and half of the loans fall between $130,000 and $980,750. No loan carries a franchise tie, at 0.00%, as one would expect of medical practices. Wells Fargo Bank National Association (14 loans, $10.9 million) ties on count with Zions Bancorporation, National Association (14 loans, $3.3 million). U.S. Bank, National Association has 11 loans for $10.4 million, and Western Alliance Bank 5 for $1.0 million. These are the holders as SBA lists them and imply nothing regarding their approach.

Years

The series is lumpy: 5 loans in FY2017, 4 in FY2020, then 13 in FY2021 with $14.1 million and 15 in FY2023. FY2026 shows 8 loans worth $8.1 million.

For Nevada physician loans approved by FY2024, the cancellation floor is 11.9% and the ceiling is identical. The early Nevada physician cohort has 38 loans, with charge-offs of 5.3% at the least and 2.6% five years out. The cohort is small, which makes each rate sensitive to a single loan, and later failures can raise them.

Questions for a Nevada practice loan

Lay out the physician's panel, the payer mix and the share of patients who travel in from other counties or states, as well as how long a new practice takes to fill its schedule. In a market where most precedent is in one county, the specific submarket matters: the supply of competing practices, the hospital affiliations that drive referrals, and the cost of staff. A typical ticket near $410,000 suggests build-out and equipment on a meaningful scale, so show that the revenue per visit supports the payment after rent, staff and malpractice insurance, and run a case where credentialing delays push the first collections back by several months.