Behavioral Health Feasibility Study in the Minneapolis-St. Paul-Bloomington, MN-WI Metro Area

What SBA's own loan files show about behavioral health and addiction treatment lending in the Minneapolis-St. Paul-Bloomington, MN-WI Metro Area, and what a feasibility study for a project there has to test.

Twin Cities behavioral health ranks 4 of 218

Behavioral health and addiction treatment stands 4 of 218 nationally in the Minneapolis-St. Paul-Bloomington record, even though the class is only fourteenth, 14 of 39, in the metro's own mix. A location quotient of 2.12x says the local share of lending is more than double the national share. The metro logged 50 loans and $22.2 million across FY2017 to FY2026; its midpoint is $350,500, 1.17x the national midpoint, with the central half of loans stretching from $100,000 to $500,000.

Franchise share is 0.00%, as expected for clinics and treatment centers. The 7(a) versus 504 split goes unpublished on a thin cohort. Behavioral health and addiction treatment share a code, so the two cannot be separated; a study of an outpatient clinic and a residential program would cite different evidence, and the borrower should say which it is.

Who holds the loans, and where

SBA lists 11 loans and $4.3 million under Wells Fargo Bank National Association, and 5 loans and $1.4 million under Hiawatha National Bank, both from SBA's holder field with nothing implied about either bank. Ramsey County, MN has 16 loans, Hennepin County, MN 14, Washington County, MN 7 and Dakota County, MN 6, so St. Paul's county outranks Minneapolis's, which is unusual for a metro list, and a borrower in Washington County, MN or Dakota County, MN will find fewer local precedents than one in Ramsey or Hennepin.

Loss-side rates are absent for the Twin Cities cohort, suppressed by SBA as thin, and neither gap is a zero. Years that print are FY2017 (7 loans, $4.8 million), FY2019 (7, $2.2 million), FY2023 (9, $5.9 million) and FY2024 (6, $1.5 million). The rest are hidden. Wisconsin counties belong to this metro under the 2023 delineation, though none appears among the named rows.

Twin Cities behavioral health: what to prove

Referral sources, payer mix and licensing for the specific service line need testing first, since reimbursement drives revenue far more than foot traffic. The facility must be costed against the $350,500 midpoint and visit volume or census must support debt service coverage after clinical payroll. The appraisal covers the operating practice and the real estate. Loan Analytics prepares the report with Daniel Smith, MAI, as signatory, and no lender decision is promised.

SBA behavioral health and addiction treatment loans in the Minneapolis-St. Paul-Bloomington, MN-WI Metro Area

Loans approved, FY2017 to FY202650
Gross dollars approved$22.2 million
Median loan$350,500
Middle half of loans, from$100,000
Middle half of loans, to$500,000
SBA 7(a) loanswithheld
SBA 504 loanswithheld
Franchise share of loans0.00%
Rank among metro and micro areas for behavioral health and addiction treatment loans4 of 218
Rank of behavioral health and addiction treatment among the classes in this area14 of 39
Location quotient (share of loans against the national share)2.12x
Median loan against the national median for the class1.17x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor)withheld
Charged off to date, FY2017 to FY2021 disbursed loans (a floor)withheld

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 behavioral health and addiction treatment loans approved in the Minneapolis-St. Paul-Bloomington, MN-WI Metro Area, by fiscal year

0246810FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 7Loans, FY2019: 7Loans, FY2023: 9Loans, FY2024: 6
Fiscal yearLoansDollars
FY20177$4.8 million
FY2018withheldwithheld
FY20197$2.2 million
FY2020withheldwithheld
FY2021withheldwithheld
FY2022withheldwithheld
FY20239$5.9 million
FY20246$1.5 million
FY2025withheldwithheld
FY2026withheldwithheld

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
Wells Fargo Bank National Association11$4.3 million
Hiawatha National Bank5$1.4 million

Lenders with 5 or more loans here; a lender with fewer is not listed, and loans SBA or a receiver holds are counted but never listed as a lender.

Where the loans are, by county

CountyLoans
Ramsey County, MN16
Hennepin County, MN14
Washington County, MN7
Dakota County, MN6

Counties with 5 or more loans; smaller ones are not listed.

Metro is the CBSA (metropolitan or micropolitan statistical area) of the loan's project county, July 2023 delineation (OMB Bulletin 23-01). The county is matched by name (manifests/ld2/county-cbsa-map.csv); a loan whose county cannot be placed in a 2023 CBSA is left out of every metro.

Mental health and addiction treatment centers share their industry codes and cannot be separated.

Shared code: Behavioral health and addiction treatment share both codes.

A value marked withheld rests on fewer than 5 loans, or is withheld so that such a figure cannot be derived from other published figures.

Source: U.S. Small Business Administration, 7(a) and 504 loan-level FOIA files (data.sba.gov), as of 2026-09-30; areas from the U.S. Census Bureau CBSA delineation, July 2023 (OMB Bulletin 23-01); Loan Analytics metro cell MA-33460-C23.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a behavioral health and addiction treatment project in the Minneapolis-St. Paul-Bloomington, MN-WI Metro Area, financed under SBA 7(a), SBA 504, USDA Business and Industry or a conventional bank loan. Tell us the project and the lender's deadline, and we reply with scope, timeline and fee.

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