Medical Facility Feasibility Study Examples

Recent Medical Facility Case Studies

USDA Community Facilities Feasibility Study Case Study: A $55 Million Replacement Critical Access Hospital in Milan, Missouri, Feasible With the Sales Tax Pledge
Type
Model study
Program
USDA Community Facilities direct loan with a CF guaranteed bank tranche
Location
Milan, Missouri
Determination
Feasible with the sales tax pledge
A county-owned critical access hospital in Milan, Sullivan County, Missouri is replacing a 1953 building of about 30,000 square feet and 25 beds, many with shared bathrooms and one shower, with a new campus of about 62,000 square feet, 16 private beds and two procedure rooms at a total cost of $55,000,000.
Hospital Feasibility Study Case Study: Reopening the Former Van Zandt County Hospital in Grand Saline, Texas, Not Feasible as Proposed
Type
Model study
Program
USDA B&I guaranteed loan of $4,990,000
Location
Grand Saline, Texas
Determination
Not feasible as proposed; a reopening becomes underwriteable only if REH 2.0 or equivalent legislation is enacted and the facility's 2015 to 2019 operating history qualifies it
The former Van Zandt County hospital building at 707 N Waldrip Street in Grand Saline, Texas, a 24,094 square foot facility built in 1971, renovated in 2021 and 2022 at a cost above $1,000,000, with a 20-bed capacity across 8 inpatient rooms, is marketed at $999,900 after closing on August 5, 2019, reopening in September 2022 and going dark again.
SBA 7(a) Feasibility Study Case Study: A Franchise Urgent Care Center at Travis Ranch in Forney, Texas, Feasible Conditioned on the Ramp Reserve
Type
Model study
Program
SBA 7(a)
Location
Forney, Texas
Determination
Feasible
A 4,883 square foot freestanding medical building built in 2022 at 1001 Travis Ranch Blvd in Forney, Kaufman County, Texas, directly in front of the main entrance to the Travis Ranch master-planned community, is marketed at $1,500,000, or $307 per square foot.
USDA B&I Feasibility Study Case Study: A 32-Bed Residential Substance Use Disorder Facility in Adena, Ohio, Conditionally Feasible
Type
Model study
Program
USDA B&I guaranteed
Location
Adena, Ohio
Determination
Conditionally feasible
A former skilled nursing facility of more than 22,000 square feet on 5.96 acres at 213 US Route 250 in Adena, Jefferson County, Ohio, renovated in 2015, configured with 26 private-bath rooms and marketed as approved for drug and alcohol rehabilitation and medical detox, is listed at $4,000,000.
SBA 504 Feasibility Study Case Study: A Two-OR Orthopedic and Pain Ambulatory Surgery Center in Leland, North Carolina, Feasible Conditioned on Surgeon Commitments
Type
Model study
Program
SBA 504
Location
Leland, North Carolina
Determination
Feasible
A 1.38-acre commercial parcel at 130 Carolina Avenue in Leland, Brunswick County, North Carolina, listed at $787,500 in a T-5 zone within an Opportunity Zone, is the site for a proposed 10,000 square foot, two-operating-room orthopedic and pain management ambulatory surgery center at a $10,000,000 total project cost under an SBA 504 structure of a $5,000,000 bank first lien, a $3,000,000 CDC debenture and $2,000,000 of equity.
Model Case Study: Rural Urgent Care Acquisition, Duncan, Oklahoma, USDA B&I
Type
Model study
Program
USDA B&I guaranteed loan
Location
Duncan, Oklahoma
Determination
Not supportable
A buyer proposes to acquire a listed, operating 5,256 SF urgent care building in Duncan, Oklahoma for $2,299,000 as a going concern, finance it with a USDA Business and Industry guaranteed loan, and lift Medicare and Medicaid revenue by certifying the clinic as a Rural Health Clinic.
Model Case Study: USDA Community Facilities Rural Health Clinic
Type
Model study
Program
USDA Community Facilities direct loan plus CF grant
Location
Cedar Fork
Determination
Not supportable as proposed
A 10,000 SF owned clinic for a rural nonprofit, financed with a $4,400,000 Community Facilities direct loan, $1,284,000 of local money and a $736,000 Community Facilities grant.