Medical Office Building Loan Comparison: Rates, Underwriting, and Capital Structures

What Is a Medical Office Building (MOB) Loan?

A medical office building loan finances the acquisition, construction, or refinancing of clinical healthcare facilities. Common structures include SBA 504 loans offering up to 90% leverage for physician-owners, as well as conventional bank, life company, and CMBS debt for investor properties.

A medical office building loan is a specialized commercial real estate mortgage structured specifically for clinical healthcare facilities, ambulatory surgery centers, and outpatient medical real estate. Common capital structures include SBA 504 debt offering up to 90% leverage for physician-owners, alongside conventional commercial bank, life insurance company, and debt fund executions for third-party healthcare real estate investors. Underwriting evaluates practice collections, clinical infrastructure, and healthcare regulatory compliance alongside standard real estate metrics.

Clinical healthcare properties cannot be evaluated through the lens of generic multi-tenant commercial office space. While standard office leases hinge on corporate headcount and discretionary remote-work policies, medical real estate tenancy depends on licensed clinical delivery, credentialed physician networks, certificate of need (CON) state authorizations, and continuous patient foot traffic. Consequently, commercial lenders classify medical outpatient facilities in a distinct asset class characterized by lower tenant default rates, high tenant retention exceeding 80%, and specialized capital requirements.

Borrowers generally fall into two discrete categories, each requiring different underwriting frameworks and loan covenants:

• Owner-Occupant Medical Practices: Single-specialty groups, multi-specialty clinics, dental practices, and physician-owned surgical groups acquiring or building their own facilities. Underwriters focus heavily on the clinical enterprise’s operating earnings, billing collection ratios, physician partner compensation, and practice historical debt service coverage. Learn more about structure options in our guide to owner-occupied commercial real estate.
• Third-Party Healthcare Real Estate Investors: Private equity syndicators, family offices, and medical real estate investment trusts (REITs) acquiring income-producing clinical assets. Underwriters evaluate tenant credit profiles, hospital health-system affiliation, remaining lease terms, and facility re-tenancy risk.

Physical property characteristics introduce substantial underwriting divergence. Clinical suites demand complex mechanical, electrical, and plumbing (MEP) infrastructure, including backup generators, isolated drainage systems, lead-lined diagnostic imaging rooms, and dedicated medical gas delivery lines. These build-outs elevate replacement costs and make clinical tenants extraordinarily sticky, but they also require lenders to assess the capital expenditure risk if an aging facility requires modernization. To examine how we evaluate broader healthcare asset profiles across inpatient, outpatient, and post-acute segments, explore our comprehensive healthcare and medical office finance guide.

Which Capital Source Fits Your Medical Facility: SBA 504, Conventional, or Institutional Debt?

For independent physician groups occupying at least 51% of a building, the SBA 504 loan program provides up to 90% loan-to-cost financing with 25-year fixed-rate debentures, preserving clinical operating capital. Third-party real estate investors and health-system-affiliated assets rely on conventional commercial banks or life insurance companies, which cap leverage between 65% and 75% loan-to-value while demanding 1.25x to 1.35x debt service coverage ratios and non-recourse structures.

Matching your facility to an optimal capital source requires assessing occupancy status, requested leverage, and partner balance-sheet flexibility. Each debt execution carries rigid qualifying hurdles, variable underwriting timelines, and distinct prepayment terms:

• SBA 504 Loan Program: Administered through a Certified Development Company (CDC) in tandem with a third-party commercial lender. The capital structure consists of a 50% first-lien senior mortgage from a bank, a 40% second-lien debenture fully guaranteed by the U.S. Small Business Administration, and a 10% equity injection from the practice. This structure allows independent medical groups to purchase or construct facilities with minimal equity dilution. However, it requires personal guarantees from any partner holding 20% or more ownership and mandates that the clinical practice occupy at least 51% of rentable square footage in an existing building (or 60% immediately for new construction, rising to 80% within 10 years). Review complete guidelines in our SBA 504 loan requirements breakdown.
• SBA 7(a) Loan Program: Typically utilized when medical real estate acquisition is combined with the purchase of an existing medical practice, high-ticket clinical equipment (such as MRI or CT units), or working capital lines. SBA 7(a) loans are capped at $5,000,000, carry variable or shorter-term fixed interest rates tied to Prime or SOFR, and feature 25-year real estate amortizations with a standard 3-year declining prepayment penalty.
• Conventional Commercial Banks: Regional and national balance-sheet lenders provide construction, bridge, and permanent debt for both owner-users and third-party investors. Conventional bank mortgages typically feature 5- to 10-year loan terms, 20- to 25-year amortization schedules, and a maximum loan-to-value (LTV) of 70% to 75%. While conventional facilities avoid federal programmatic fees, lenders routinely require full personal recourse, ongoing liquidity covenants, and depository relationship requirements from the physician group or real estate sponsorship.
• Life Insurance Companies: Institutional life company debt represents the lowest cost of capital for stabilized, institutional-quality medical office buildings. These non-recourse mortgages feature 10- to 25-year fixed-rate terms at 55% to 65% LTV, but they are reserved strictly for credit-tenanted properties backed by health systems or large multi-specialty practices with long-term triple-net (NNN) leases exceeding the loan term.

Medical Office Building Underwriting Matrix by Capital Source

Financing Structure	Max LTV / LTC	Minimum DSCR	Term / Amortization	Recourse Profile	Target Borrowing Profile
SBA 504 Debt	90% LTC (85% for special-use)	1.15x – 1.25x	10- to 25-year fixed / 25-year fully amortizing	Full personal recourse (≥20% equity owners)	Owner-occupant practices occupying ≥51% of facility
SBA 7(a) Debt	85% – 90% LTC ($5M program limit)	1.15x – 1.25x	10- to 25-year terms / Up to 25-year amortizing	Full personal recourse (≥20% equity owners)	Practice buy-in plus real estate or heavy equipment needs
Conventional Bank	70% – 75% LTV	1.25x – 1.30x	5- to 10-year balloon / 20- to 25-year amortizing	Recourse required; limited burn-off available	Investors and strong local practices seeking flexibility
Life Insurance Co.	55% – 65% LTV	1.30x – 1.40x	10- to 20-year fixed / 25- to 30-year amortizing	Non-recourse (bad-boy carve-outs only)	Stabilized assets tenanted by hospital networks or credit practices
Debt Funds / Bridge	75% – 80% LTC	1.10x – 1.15x (or interest-only)	2- to 3-year floating / Interest-only period	Non-recourse options available	Value-add lease-up, repositioning, or complex clinical build-outs

For a detailed breakdown of programmatic variables across federal and private lending channels, read our comparison in the healthcare real estate financing guide.

How Does Underwriting Differ for Owner-Occupied Practices Versus Third-Party Investors?

Owner-occupied underwriting bases debt repayment on clinical practice cash flows, evaluating patient collections, physician partner turnover, payer mix, and historical fixed-charge coverage ratios. In contrast, third-party investor underwriting treats the asset as passive real estate, focusing strictly on tenant credit ratings, remaining lease duration, local submarket vacancy, and replacement leasing costs if a provider vacates.

Lenders evaluate risk differently depending on who signs the lease. The following factors dictate how credit officers assess debt capacity for each profile:

1. Owner-Occupied Practice Underwriting

When an operating healthcare business owns the underlying facility (often organized as an operating company/property company structure), lenders underwrite the consolidated financial health of the practice:

• Cash Flow and Fixed-Charge Coverage: Underwriters review three years of corporate tax returns and audited or reviewed financial statements. They measure cash flow using a Fixed-Charge Coverage Ratio (FCCR), which must typically hit 1.20x to 1.30x after factoring in real estate debt service, clinical equipment leases, and mandatory physician partner draws. Calculate debt service benchmarks using our commercial real estate loan calculator.
• Payer Mix Stability: Underwriters evaluate the practice’s revenue distribution across Medicare, Medicaid, private commercial payers (HMOs/PPOs), and private pay. An over-concentration in Medicaid (frequently above 30%) triggers downward adjustments to projected net cash flows due to lower reimbursement margins and state-level payment lag risks.
• Physician Demographics and Succession: If a practice relies on senior physicians nearing retirement who generate a disproportionate share of collections, lenders require documented recruitment pipelines, non-compete agreements, and buy-in structures for incoming associates. Key-person life insurance is universally required on primary revenue-generating providers.
• Global Cash Flow of Partners: Because SBA and conventional owner-occupied loans require personal guarantees from owners with 20% or greater equity, lenders stress-test the personal balance sheets, personal debt obligations, and non-practice income of each guarantor.

2. Third-Party Healthcare Investor Underwriting

When an investor or private capital group acquires a multi-tenant clinical building or executes a sale-leaseback with an independent practice, credit committees isolate the real estate asset from the corporate operations of individual tenants:

• Weighted Average Lease Term (WALT): Lenders require a WALT that meets or exceeds the requested loan maturity. For an 8-year fixed conventional bank mortgage, lenders look for an in-place portfolio WALT of at least 8 to 10 years. Shorter WALTs invite debt service coverage haircuts or mandatory cash-sweep covenants.
• Tenant Credit and System Sponsorship: Credit tiers dictate pricing. Tenants backed by investment-grade hospital systems (rated BBB or higher by S&P or Fitch) secure tighter spreads, higher LTVs, and lower DSCR thresholds (down to 1.20x). Independent single-specialty practices command higher yield spreads and lower leverage thresholds (65% LTV).
• Capital Expenditure and Tenant Improvement Reserves: Converting vacant clinical suites into usable medical space is cost-prohibitive compared to standard office suites. Build-out costs range from $100 to $250 per square foot for basic outpatient medical uses and up to $400 or more per square foot for ambulatory surgery suites. Lenders stress-test leasing reserves and require upfront or ongoing replacement reserves of $0.50 to $1.50 per square foot annually. For ground-up clinical development, compare terms in our guide to commercial construction loans.

To evaluate specialized capital channels for investor-held assets, review our breakdown of third-party medical office building commercial lenders or explore customized solutions in our guide to real estate financing for medical practices.

How to Secure Financing for a Medical Office Building: Step-by-Step

Navigating the financing process for clinical real estate requires aligning practice operations, real estate entities, and underwriting verification. Borrowers should execute the following sequence to secure optimal terms:

1. Determine Borrowing Structure and Space Allocation: Establish whether the property will be acquired as an owner-occupied facility (requiring ≥51% practice occupancy) or an investor asset. Form separate operating company (OpCo) and property company (PropCo) legal entities if pursuing practice ownership.
2. Compile Practice Financials and Rent Roll: Prepare three consecutive years of corporate tax returns, year-to-date profit and loss statements, accounts receivable aging reports, payer mix summaries, and in-place commercial lease agreements.
3. Size Debt Capacity and Model Coverage: Calculate projected Net Operating Income (NOI) against expected debt service to ensure the property meets the lender’s 1.20x to 1.35x DSCR threshold, factoring in practice rent obligations and third-party tenant income.
4. Select Capital Source and Secure Term Sheets: Solicit competitive loan proposals across CDCs for SBA 504 debt, regional balance-sheet banks, or life companies depending on leverage, recourse, and interest rate preferences.
5. Complete Third-Party Diligence and Funding: Order clinical property appraisals, Phase I Environmental Site Assessments (ESAs) with medical waste scrutiny, Property Condition Assessments (PCAs), and finalize lender legal documentation prior to loan closing.

Worked Example: How Does an 8-Physician Group Finance a $6,500,000 MOB Acquisition?

An eight-physician surgical group acquiring a 22,000-square-foot clinical facility for $6,500,000 can utilize an SBA 504 loan structure with a 10% cash down payment of $650,000. By occupying 60% of the building and leasing the remaining 40% to an imaging center and laboratory, the group secures a senior bank loan of $3,250,000 and a 25-year fixed SBA debenture of $2,600,000, requiring a combined property Net Operating Income of $585,135 to clear a 1.25x DSCR.

This transaction profile illustrates how independent practices preserve balance-sheet liquidity while securing a permanent clinical home. The scenario assumes an asset acquisition with stabilized complementary tenancies already in place.

Acquisition and Financing Parameters

• Total Purchase Price: $6,500,000
• Gross Rentable Area: 22,000 square feet
• Occupancy Breakdown: Surgical practice occupies 13,200 sq ft (60%); imaging center and pathology lab occupy 8,800 sq ft (40%). Meets the SBA minimum 51% occupancy rule.
• Capital Structure: 50-40-10 SBA 504 structure.

Capital Stack and Debt Service Breakdown

The financing breaks down into three distinct tiers:

1. Borrower Equity Injection (10%): $650,000, funded pro-rata across the eight physician partners ($81,250 per partner).
2. Senior Bank First Lien (50% LTV): $3,250,000 funded by a commercial bank. Underwritten at a 6.75% fixed interest rate, a 10-year loan term, and a 25-year amortization schedule.
   
   Annual Senior Debt Service: $269,760 ($22,480 monthly).
3. CDC / SBA 504 Debenture (40% Net Debenture): $2,600,000 second-lien mortgage funded via an SBA-guaranteed debenture sale. Fixed for 25 years at a note rate of 5.85% (including ongoing CDC and SBA administrative servicing fees).
   
   Annual Debenture Debt Service: $198,348 ($16,529 monthly).

Total Combined Annual Debt Service: $269,760 + $198,348 = $468,108

Underwriting Coverage Calculation

Commercial lenders require a minimum Debt Service Coverage Ratio of 1.25x across the real estate operating entity:

• Minimum Net Operating Income (NOI) Required: $468,108 × 1.25 = $585,135
• Third-Party Commercial Tenant Income: The imaging center and diagnostic laboratory occupy 8,800 sq ft under NNN leases at $32.00 per square foot, generating $281,600 in net annual rental revenue.
• Practice Rental Obligation: To fulfill the balance of the required cash flow, the physician operating company executes a formal lease with its real estate entity for the remaining $303,535 annually ($23.00 per square foot NNN for 13,200 sq ft).
• Practice Cash Flow Test: Underwriters review the surgical group’s trailing-12-month financials to confirm that its historical operating earnings can easily absorb the $303,535 annual lease expense while maintaining an independent 1.25x FCCR across all practice-level obligations.

From initial application and personal financial disclosure submissions to final CDC board approval, third-party appraisal, Phase I environmental clearance, and closing, this transaction requires a standard 45 to 60-day underwriting and closing timeline.

What Key Underwriting Metrics Determine Medical Office Loan Approval?

Medical office building loan underwriting hinges on three critical performance benchmarks: Debt Service Coverage Ratio (DSCR), Weighted Average Lease Term (WALT), and specialized mechanical, electrical, and plumbing (MEP) infrastructure capacity. Credit approval requires balancing real estate valuations against tenant retention and replacement costs, with lenders establishing strict numerical covenants around coverage, lease duration, and capital expenditure reserves.

1. Debt Service Coverage Ratio (DSCR)

Debt Service Coverage Ratio (DSCR) measures the cash flow available to pay current debt obligations. In commercial real estate underwriting, it is calculated as:

DSCR = Net Operating Income (NOI) / Total Annual Debt Service

For medical office real estate, minimum thresholds vary according to credit alignment:

• 1.20x DSCR: Standard for assets with direct leases signed by investment-grade health systems or major regional hospital networks.
• 1.25x – 1.30x DSCR: The standard baseline for multi-tenant outpatient facilities occupied by independent private medical groups and regional specialty practices.
• 1.35x+ DSCR: Applied to single-tenant facilities occupied by highly specialized, capital-intensive practices (such as standalone ambulatory surgery centers or oncology clinics) where cash flow is vulnerable to provider turnover.

2. Weighted Average Lease Term (WALT)

Weighted Average Lease Term (WALT) measures the average time remaining before tenant leases expire across a commercial building, weighted by the square footage or rental revenue generated by each tenant. In multi-tenant medical office underwriting, lenders require a WALT that provides visibility past loan maturity:

• Investor Acquisition Standard: Lenders look for a minimum WALT of 7 to 10 years on assets seeking standard 5- to 10-year term debt. If a 10-year loan is requested on an asset with a 4-year WALT, lenders will mandate structural protections, including cash sweeps that divert net cash flow into a tenant improvement and leasing commission (TI/LC) escrow account.
• Lease Structure and NNN Terms: Lenders favor absolute NNN or modified NNN leases where tenants handle operating expenses, structural utilities, and insurance adjustments directly, isolating building net income from municipal tax increases and medical inflation.

3. Specialized Tenant Improvements and Capital Expenditure

The specialized physical improvements inside a clinical medical office build-out represent both a credit benefit and an underwriting challenge:

• Clinical Build-Out Costs: General office space can be retrofitted for $40 to $70 per square foot. Clinical medical space demands $100 to $250+ per square foot due to complex MEP demands, dedicated plumbing runs in every exam room, specialized HVAC air-exchange systems, and reinforced floor loading for diagnostic equipment.
• Tenant Stickiness vs. Re-Tenancy Risk: Because doctors invest substantial equity into these clinical improvements, annual lease renewal rates in medical office buildings regularly exceed 80%, providing superior occupancy durability. However, if an operator departs, marketing a customized clinical layout to a replacement practice can require 12 to 24 months of dark space. Lenders offset this exposure by assessing localized medical vacancy, local hospital referral patterns, and upfront capital reserves.

To learn more about how institutional debt structures accommodate clinical property upgrades, consult our guide to commercial real estate financing for medical office buildings.

What Documentation Is Required in a Medical Office Mortgage Due Diligence Checklist?

Securing competitive terms on a medical office building loan requires packaging property performance data, physical plant verifications, corporate clinical financials, and personal guarantor profiles upfront. Commercial underwriters review these materials to verify property condition, ensure regulatory compliance, and stress-test the practice’s historical earnings.

1. Real Property Documentation

• Certified Rent Roll: Detailed schedule including suite numbers, square footage, lease start and expiration dates, base rent rates, renewal options, expense reimbursement structures (NNN versus gross), and current tenant balance ledgers.
• Executed Lease Agreements: Complete copies of all tenant leases, amendments, assignment documents, personal or corporate guaranties, and sublease agreements.
• Historical Operating Statements: Property-level profit and loss statements for the trailing three fiscal years, along with a detailed Trailing 12-Month (T12) operating breakdown with line-item utility and property management expenses.
• Purchase Contract / Settlement Statement: Executed purchase and sale agreement, including all exhibits, closing timelines, and earnest money deposit receipts.

2. Clinical Practice Financials (For Owner-Occupants)

• Corporate Tax Returns: Three consecutive years of filed federal and state income tax returns for the operating medical practice entity (Forms 1120-S, 1065, or 1120).
• Interim Practice Financials: Year-to-date balance sheet and income statement dated within 60 days of application, complete with an aging report for clinical accounts receivable.
• Payer Mix Breakdown: A verified report detailing practice gross and net revenue generated through commercial insurance, Medicare, Medicaid, patient self-pay, and managed care contracts.
• Physician Roster and Provider Billing: Detailed list of licensed practitioners, their historical annual collections, tenure with the practice, employment agreements, and malpractice insurance certificates.

3. Physical Plant and Environmental Due Diligence

• Phase I Environmental Site Assessment (ESA): Must be performed in accordance with ASTM E1527-21 standards, with special scrutiny paid to medical waste storage, hazardous cleaning chemical disposal, and underground storage tanks associated with backup power generators.
• Property Condition Assessment (PCA): Third-party engineering evaluation inspecting mechanical systems, HVAC filtration and air-exchange efficiency, medical gas lines, roof life expectancy, plumbing integrity, and ADA compliance for clinical visitor accessibility.
• Building Plans and Permits: As-built architectural drawings, certificates of occupancy for clinical suites, and documentation confirming local zoning compliance for healthcare utilization.

4. Sponsor and Guarantor Verification

• Personal Financial Statements (PFS): Current SBA Form 413 or standard bank PFS format for every equity partner holding a 20% or greater interest in the real estate or operating practice entity.
• Personal Tax Returns: Three years of filed federal 1040 tax returns, including all schedules and K-1 distributions from practice and real estate entities.
• Entity Organizational Documents: Filed Articles of Organization/Incorporation, Operating Agreements, Bylaws, Certificate of Good Standing from the Secretary of State, and an organizational chart showing exact equity breakdown.

Frequently Asked Questions

What are the typical loan terms for a medical office building?

Typical terms depend on the capital source. SBA 504 loans offer up to 90% leverage with 20- to 25-year fixed-rate amortizations for owner-occupants. Conventional commercial bank loans feature 65% to 75% LTV, 5- to 10-year term lengths, and 20- to 25-year amortizations. Institutional and life company debt provides 10- to 20-year fixed maturities with up to 30-year amortizations at 55% to 65% LTV.

Can a physician use an SBA 504 loan to buy a medical office?

Yes. A physician or medical group can utilize the SBA 504 program provided their practice occupies at least 51% of the property’s gross rentable square footage for an existing building, or 60% immediately (expanding to 80% within 10 years) for new ground-up construction. The remaining square footage may be leased out to complementary medical or commercial tenants.

What debt service coverage ratio (DSCR) is required for medical office loans?

Lenders typically require a minimum DSCR between 1.20x and 1.35x. For owner-occupied healthcare properties, underwriters evaluate both property-level NOI and corporate practice cash flow using a 1.20x to 1.25x fixed-charge coverage standard. Investor-owned assets tenanted by private practices usually require a 1.25x to 1.30x DSCR, while investment-grade hospital system leases can price closer to 1.15x to 1.20x.

How does underwriting a medical office building differ from general commercial office space?

MOB underwriting places significantly higher value on tenant stickiness, specialized build-out investment, and regulatory alignment. Unlike traditional office space, medical tenants invest heavily ($100 to $250+ per square foot) into clinical build-outs and face extensive regulatory hurdles to relocate, leading to historical renewal rates exceeding 80%. Underwriters scrutinize payer mix, physician succession plans, and hospital system proximity rather than general corporate office employment metrics.

What percentage down payment is needed to buy a medical office building?

Down payment requirements range from 10% to 35%. Physician groups using an SBA 504 loan can acquire an owner-occupied facility with as little as a 10% equity injection (15% if the real estate is classified as a single-use specialized facility or if the business is a startup under two years old). Non-occupant commercial real estate investors funding through conventional banks or institutional lenders typically must contribute 25% to 35% equity.

References

Sources reviewed while researching medical office building loan, taken from the US search results on 2026-10-31.

1. Medical Office Building Loans | Prosperity Bank — prosperitybankusa.com
   [Medical Office Building Loans](https://www.prosperitybankusa.com/medical-office-building-loans/)

   # Medical Office Building Loans
   The assistance you need to acquire, expand or renovate space

   [Learn More Below](https://www.prosperitybankusa.com/medical-office-building-loans/#Benefits-and-Features)

   Flexible Terms

   Up

2. Medical Office Building Loans | Healthcare Real Estate Financing — avanacompanies.com
   Loans run approximately $1M to $18M, with mid-term options up to 10 years and long-term up to 25 years. Leverage goes up to 75% LTV, or up to 90% of project …
3. Commercial Real Estate Loans for Medical Buildings — goamplify.com
   A commercial term loan is another option for developing or acquiring health care commercial real estate. These types of loans typically include:.
4. Commercial Real Estate Loans – Henry Schein Medical Finance — medicalfinancial.henryschein.com
   Commercial Healthcare Real Estate Financing for Doctors and Medical Professionals. Medical Real Estate Loans with up to 100% Financing.
5. How to Finance the Build-Out of a New Medical Office or Facility – USB — unionsavings.com
   Once your facility is built or acquired, a long-term commercial real estate loan can help you finance the property over time. These loans are well-suited for:.
6. Medical Office Building Loan Guide: Best Options 2026 — loanguys.com
   # Medical Office Building Loan Guide: Best Options 2026
   

   Medical office building investors run into a wall traditional banks build on purpose: tenant concentration, healthcare-specific build-outs, and physician borrowers who don’t fit a stan

7. Medical Office Commerical Loans — commercialrealestate.loans
   Commercial real estate loans for medical offices typically start at $500,000 and offer up to 90% LTV, while SBA loans start at $30,000 and offer amortizations …
8. Help with construction loan planning for new build medical office – Reddit — reddit.com
   [Skip to main content](https://www.reddit.com/r/CommercialRealEstate/comments/1wuzp5p/help_with_construction_loan_planning_for_new/#main-content)Help with construction loan planning for new build medical office : r/CommercialRealEstate

   # Help with construction loan planning for new build medical office
   I bought the lo

9. Healthcare Real Estate | Project Finance – Live Oak Bank — liveoak.bank
   Medical Outpatient Buildings (MOBs): Loans for the acquisition, development, or renovation of office spaces designed for healthcare providers. Surgery …

SERP features this page targets

Feature	Likelihood	How this page wins it
Featured Snippet (Paragraph)	85%	H2: ‘What Is a Medical Office Building (MOB) Loan?’ followed by a concise 35-word definition emphasizing SBA 504, conventional bank, and healthcare-specific tenancy underwriting.
Comparison Table	75%	A structured underwriting comparison matrix outlining LTV, DSCR, amortization, and terms across SBA 504, SBA 7(a), conventional commercial banks, and life company debt.
People Also Ask	90%	Dedicated FAQ section addressing medical tenant build-out allowances, owner-occupancy rules (51% for SBA), and healthcare DSCR calculations.
AI Overview	80%	Clear hierarchical H2s and structured bullet points defining MOB underwriting factors: specialized tenant improvements, regulatory compliance, hospital proximity, and lease terms.
Expanded Sitelinks	60%	Distinct landing page sub-navigation covering Owner-Occupied MOBs, Medical Office Construction Loans, Refinancing Medical Centers, and SBA Healthcare Loans.