SBA 7(a) Medical Office Feasibility Study in Rhode Island
What SBA's own loan files show about SBA 7(a) lending to medical office (physicians) projects in Rhode Island, and what a feasibility study for an SBA 7(a) loan there has to test.
The Rhode Island SBA 7(a) medical office book at a glance
For medical office projects in Rhode Island, SBA logged 33 approvals, $12.2 million in gross dollars, in Rhode Island under 7(a) across FY2017 to FY2026. Standing: 37 in the Rhode Island SBA 7(a) medical office loan count, and 7 of 39 among Rhode Island's own classes. Midpoint size: $126,000. Compared with medical office (SBA 7(a)) lending nationwide, Rhode Island runs at 0.50x on that median, a smaller ticket size. From $88,000 up to $200,000 sits half of the loans in Rhode Island. Franchised clients account for 0.00% of the 33 loans. Rhode Island medical office lending blends into its parents across 33 loans: nothing in Rhode Island clears the distinctness margin, so Rhode Island readers must read Rhode Island's lender, county and timing detail.
Institutions, counties and timing in Rhode Island
At the top of the institutions list for Rhode Island: TD Bank, National Association at $2.1 million across 6 loans; Citizens Bank, National Association at $660,500 across 5 loans. The Rhode Island medical office ranking follows whoever holds each Rhode Island loan; whichever lender wrote any one of those 6 files could be a different institution. Within Rhode Island, the counties with the most loans are Providence with 22, Kent with 7 and Washington with 4. Year by year in Rhode Island, approvals peaked at 9 loans, worth $2.0 million, in FY2018, while the latest year shown, FY2026, carries 0 loans worth $0; the series opened in FY2017 at 5.
Rhode Island: outcomes, read as minimums for medical office
Cancellation after approval is left blank for Rhode Island medical office, since the 33-loan record offers too few medical office loans from the FY2017 to FY2024 cohort to support a rate; a medical office blank for Rhode Island means held back, never a zero. Too few of the 33 medical office loans funded in Rhode Island between FY2017 and FY2021 to support a medical office charge-off rate, which is why the figure stays withheld and the medical office gap is not a zero. Lenders should treat these Rhode Island rates, drawn from 33 loans, as minimums, never as settled results. SBA files the 33 Rhode Island borrowers by industry code, not by medical office building or concept, so medical office here follows the code groupings, not medical office's physical use of a Rhode Island site.
What a Rhode Island medical office study must prove
Any Rhode Island medical office project funded under 7(a), one of 33 on record, goes through a participating lender in Rhode Island, with SBA guaranteeing part of the medical office loan; the study should answer to that Rhode Island lender's credit scrutiny, from use of proceeds to medical office repayment. A Rhode Island medical office study tests provider demand against existing medical buildings. Clinical finish, utility work, accessibility upgrades and site needs set medical office costs in Rhode Island. Debt service coverage runs on $126,000 and again at $200,000, plus a downside scenario, so a Rhode Island reader can see where medical office the margin thins. Valuation of a Rhode Island medical office depends on lease quality and the fill-up period. A borrower that is approaching TD Bank, National Association must read its 6 loans here as background alone: SBA's numbers show a book, not any requirements.
Take the Rhode Island medical office history above, 33 loans, as background: a medical office study from Loan Analytics for Rhode Island, signed by Daniel Smith, MAI, for medical office, handles the project-level Rhode Island testing, and nothing here assures Rhode Island approval of a medical office loan.
SBA 7(a) medical office (physicians) loans in Rhode Island
| Loans approved, FY2017 to FY2026 | 33 |
|---|---|
| Gross dollars approved | $12.2 million |
| Median loan | $126,000 |
| Middle half of loans, from | $88,000 |
| Middle half of loans, to | $200,000 |
| Franchise share of loans | 0.00% |
| Rank among states for SBA 7(a) medical office (physicians) loans, by number of loans | 37 |
| Rank of medical office (physicians) among classes in Rhode Island | 7 of 39 |
| Median loan against the national SBA 7(a) median for the class | 0.50x |
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 Rhode Island, by fiscal year
| Fiscal year | Loans | Dollars |
|---|---|---|
| FY2017 | 5 | $436,500 |
| FY2018 | 9 | $2.0 million |
| FY2019 | 2 | $218,500 |
| FY2020 | 0 | $0 |
| FY2021 | 4 | $3.8 million |
| FY2022 | 1 | $84,000 |
| FY2023 | 6 | $2.0 million |
| FY2024 | 2 | $700,000 |
| FY2025 | 4 | $3.0 million |
| FY2026 | 0 | $0 |
Most active SBA lenders
| Lender | Loans | Dollars |
|---|---|---|
| TD Bank, National Association | 6 | $2.1 million |
| Citizens Bank, National Association | 5 | $660,500 |
Where the loans are, by county
| County | Loans |
|---|---|
| PROVIDENCE | 22 |
| KENT | 7 |
| WASHINGTON | 4 |
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-RI-C32-7A.
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