VIRGINIA · NAICS NAICS 6211, 6212
Virginia medical and dental acquisitions routinely cross the $250,000 goodwill threshold that triggers an independent going-concern appraisal, especially across Northern Virginia, the wealthiest practice market in the state. A single Virginia Beach dental loan ran $4.5 million in calendar 2025, and 504 Capital's published record includes a mental health practice consolidation in the region.
FEASIBILITY TRIGGER
Acquisitions routinely cross the $250,000 goodwill threshold triggering an independent going-concern appraisal; startups and relocations are projection-based.
From FY2010 through FY2026, Virginia recorded 485 SBA-disbursed medical and dental practice loans across the 7(a) and 504 programs, representing $288.5 million in approved financing at an average loan size of $595,000. The state sits at rank #16 of 38 for medical and dental practice SBA lending volume and holds 1.7% of the national medical and dental practice dollar pool. 7(a) accounts for 81.2% of the count, 504 for the rest, with 61 fresh approvals dated FY2024 or later.
| Disbursed loans (FY2010–FY2026) | 485 |
| Approved volume | $288.5 million |
| Average loan size | $595,000 |
| 7(a) share | 81.2% |
| Approvals since FY2024 | 61 |
| State rank by loan count | #16 of 38 |
Among the 388 seasoned loans in this segment (approvals FY2010–FY2021), 3.9% reached adverse resolution — purchased, liquidated, or charged off. The national benchmark for medical and dental practice is 3.7%, against 7.3% across all industries. That is broadly in line with the national benchmark for this asset class.
Source: SBA 7(a) and 504 FOIA loan-level data, as of March 31, 2026. Disbursed loans only. See data methodology.
An adverse-resolution rate of 3.9%, close to the national medical and dental practice benchmark of 3.7%, puts Virginia deals in this class on ordinary SBA credit footing. Across 485 loans averaging $595,000, the underwriting question is deal-specific: a rigorous third-party feasibility study is where documented demand and stressed coverage decide the credit outcome.
Every Virginia medical and dental practices project we underwrite follows the same lender ready process: independent market analysis, site and technical review, and financial projections tested against SBA SOP 50 10 8 standards. Our SBA feasibility study consultants guide explains scope, timing, deliverables, and what lenders and CDCs expect in the report.
Virginia projects often pencil under SBA 504 because the 50/40/10 structure delivers up to 90 percent financing on owner-occupied real estate at a fixed debenture rate, decisive in Northern Virginia and Hampton Roads land markets. SBA 7(a) covers acquisitions, working capital, and equipment, and from July 4, 2026 eligible borrowers can combine 7(a) and 504 for up to $10 million in total program credit.
Northern Virginia carries the wealthiest practice market in the state, where acquisition values clear the appraisal threshold as a matter of course, and a single Virginia Beach dental loan ran $4.5 million in calendar 2025; 504 Capital's published record includes a mental health practice consolidation.
For a national view of this asset class, see our medical and dental practice SBA feasibility overview, and read our related analysis in the medical and dental practice lending research on our blog.
Compare neighboring markets: Texas, Washington.
Public SBA and CDC program records, cited as program evidence
Seedcopa-documented SBA 504 of $1,524,000 within a $3,716,000 project with Penn Community Bank
National program evidence
New Hope, Bucks County, Pennsylvania
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