SBA 504 Physician Office Industry Analysis

SBA 504 loans are a key financing tool for physician offices, supporting real estate purchases, expansions, and facility upgrades.

Explore real lending data, average loan sizes, and market trends across the U.S.

SBA 504 Physician Offices Industry Analysis | APC
SBA 504 Industry Report

Physician Offices
Market Analysis

A comprehensive look at SBA 504 lending activity for Offices of Physicians (NAICS 621111 & 621112), covering loan volume, geography, lender participation, and borrower profile from FY2023 through FY2026 (as of 12/31/2025).

Data SourceSBA FOIA 504 Data
PeriodFY2023 – FY2026 YTD
As Of DateDecember 31, 2025
NAICS Codes621111 & 621112
Total Loans
455
Approved 504 Loans
SBA 504 Volume
$501.9M
Gross Approvals
Avg 504 Loan
$1.10M
Median: $745K
Combined Lending
$1.15B
SBA + Third Party
Lending Volume by Fiscal Year
Physician office 504 lending grew 49% in dollar volume from FY2023 to FY2025

Number of Loans by Fiscal Year

FY 2023
123
FY 2024
150
FY 2025
159
FY 2026 YTD
23

Dollar Volume by Fiscal Year

FY 2023
$122.7M
FY 2024
$176.6M
FY 2025
$183.0M
FY 2026 YTD
$19.6M

Key Takeaway

Physician office 504 lending is on a strong growth trajectory — loan counts jumped 29% from FY2023 to FY2025 (123 → 159), and dollar volume is up 49% ($123M → $183M) over the same period. This is one of the fastest-growing medical-sector segments in the SBA 504 portfolio.

Loan Size Distribution
Most physician office 504 loans fall between $250K and $2M

SBA 504 Approval Amount Brackets

Under $150K
13
$150K–$250K
31
$250K–$500K
94
$500K–$1M
152
$1M–$2M
96
$2M–$5M
63
$5M+
6

Loan Term & Business Profile

Loan Term Length

93% 25-Year
25-Year (423)
20-Year (27)
10-Year (5)

Business Maturity

87% Existing
Existing 2+ Yrs (396)
Startup (54)
Other (5)

Key Takeaway

Physician office loans cluster in the $500K–$1M bracket (152 loans, 33% of total), with another 94 loans in the $250K–$500K range. The average loan of $1.10M is notably larger than dental practices ($963K) but smaller than gas stations ($1.49M). 87% of borrowers are established practices (2+ years old) — a mature, low-risk borrower profile similar to dentists.

Geographic Distribution
California leads with 32% of all physician office 504 loans nationally

Top 15 States by Loan Count

California
144
Florida
71
Texas
30
Nevada
20
Georgia
20
New York
20
Arizona
18
Puerto Rico
17
Utah
10
Michigan
8
Idaho
7
Ohio
7
Virginia
6
Minnesota
6
Oregon
6

Top 15 States by Dollar Volume

California
$204.2M
Florida
$75.5M
Texas
$38.4M
Nevada
$30.4M
New York
$25.5M
Georgia
$14.1M
Arizona
$13.3M
Utah
$10.5M
Michigan
$8.0M
Puerto Rico
$6.9M
Idaho
$6.4M
Oregon
$6.0M
Minnesota
$5.8M
Ohio
$4.5M
Virginia
$2.2M

Top Counties

CountyStateLoans
Los AngelesCA48
OrangeCA29
Miami-DadeFL13
San DiegoCA13
MaricopaAZ12
WashoeNV11
San BernardinoCA8
ClarkNV8
BrowardFL8
HillsboroughFL6
RiversideCA6

Key Takeaway

California and Florida together account for 47% of all physician office 504 loans nationally. Los Angeles County alone has 48 loans — more than any full state outside of California and Florida. Southern California (LA, Orange, San Diego, San Bernardino, Riverside) combines for 104 loans, representing 23% of the entire U.S. market. Puerto Rico is a notable entrant with 17 loans, reflecting a unique sub-market served by local CDCs and Banco Popular.

Top Certified Development Companies (CDCs)
Which CDCs are originating the most physician office 504 loans
CDC NameLoansTotal VolumeAvg Loan
California Statewide Certified57$84,125,000$1,475,877
Mortgage Capital Development Corp48$76,735,000$1,598,646
Florida Business Development Corp47$50,547,000$1,075,468
Florida First Capital Finance31$28,023,000$903,968
Business Finance Capital26$31,335,000$1,205,192
Empire State Certified Development18$21,169,000$1,176,056
CDC Small Business Finance Corp10$13,873,000$1,387,300
Mountain West Small Business Finance9$11,520,000$1,280,000
Corp. Financiamiento Empresarial9$3,590,000$398,889
LiftFund, Inc.8$9,422,000$1,177,750

Key Takeaway

California Statewide Certified leads in loan count (57) and volume ($84.1M), closely followed by Mortgage Capital Development Corp (48 loans, $76.7M). The Florida CDCs (Florida Business Development + Florida First Capital) collectively account for 78 physician office loans — showing strong penetration in the Florida medical market. Corp. Financiamiento Empresarial is the dominant Puerto Rico CDC, with smaller average deal sizes reflecting that market's profile.

Top Third Party Lenders
Banks partnering on the conventional first-lien portion of physician office 504 projects
LenderLoans504 Volume
JPMorgan Chase Bank, N.A.49$47,189,000
First-Citizens Bank & Trust24$36,950,000
Bank of America, N.A.13$14,568,000
Wells Fargo Bank, N.A.11$15,642,000
Harvest Commercial Capital, LLC10$10,263,000
First Citizens Bank9$14,557,000
Zions Bank9$10,064,000
Banco Popular de Puerto Rico9$3,586,000
Glacier Bank8$7,644,000

Key Takeaway

This is a national-bank-dominated market. JPMorgan Chase is the runaway leader with 49 loans and $47.2M in volume — nearly double the next closest lender. The top four lenders (Chase, First-Citizens, Bank of America, Wells Fargo) are all major national players, which is a notable difference from gas stations (community-bank driven) and dental practices (mixed). Banco Popular de Puerto Rico holds the top spot in the Puerto Rico sub-market.

Market Summary
What this means for SBA 504 lending strategy
Fast-Growing Segment

Loan counts up 29% and dollar volume up 49% from FY2023 to FY2025. Physician offices represent one of the most active growth segments in SBA 504 lending, with 455 total loans and over $500M in approvals.

Strong Borrower Profile

87% of borrowers are established practices (2+ years old) with stable patient revenue and essential-service demand. 96% are structured as corporations — a mature, bankable borrower base well-suited to SBA 504 lending.

National-Bank Market

Unlike gas stations, physician offices are dominated by major national banks. JPMorgan Chase alone accounts for 11% of all third-party loans in this space. For CDCs, building relationships with Chase, First-Citizens, BofA, and Wells Fargo is essential.