Behavioral Health Feasibility Study in Virginia

What SBA's own loan files show about behavioral health and addiction treatment lending in Virginia, and what a feasibility study for a project there has to test.

Virginia behavioral health: a location quotient of 1.69x

Behavioral health and addiction treatment takes a bigger part of Virginia lending than it does elsewhere, with a location quotient of 1.69x. Providers here are not a rarity in the SBA book. The cell logs 35 approvals worth $21.3 million over FY2017 to FY2026, and Virginia sits 12 of 52 among states. Within Virginia the class holds 17 of 39. The $309,000 median is 1.03x the usual national ticket, with the central half of loans between $175,000 to $451,100. The cell has no distinctive metric.

Providers used 7(a) for 30 loans and 504 for 5, and 5.7% report a franchise. Celtic Bank Corporation alone reaches the 5-loan mark, with $1.4 million. Henrico County has 9 loans, Fairfax 5 and Chesterfield 4, with Arlington, Prince William and the cities of Chesapeake and Richmond at 2 each. Henrico County has the most. Loan Analytics prints no cancellation or loss rate for Virginia treatment providers, since Loan Analytics shows a rate only for cohorts of at least 30 loans, and the blanks should be read as missing evidence.

The yearly record

FY2018 produced 7 loans worth $1.8 million, FY2020 produced 5 worth $6.6 million, and FY2022 recorded 0. FY2026 shows 4 loans worth $6.0 million, the top dollar figure of any year, which suggests larger projects lately. Dollar totals jump around because a single residential treatment property can outweigh several outpatient offices, and a lender should ask which kind of operator sits behind any given year.

Questions for a Virginia treatment provider

The study must define the service: outpatient counseling, intensive programs or residential treatment, because licensing, staffing and reimbursement differ sharply. Demand means referral sources, insurance contracts and the supply of clinicians. Cost depends on licensure requirements, building code for residential use, and neighborhood approval. Debt service coverage depends on census and payer mix, and on denial rates, which can hit cash flow. The appraisal should consider that a special-purpose treatment building may have a narrow buyer pool. The category cannot separate behavioral health from addiction treatment, since both topics share the same codes, so the figures above mix two kinds of providers. Because the Virginia cohort is small, a single large project can move the dollar totals, so the study should treat the median of $309,000 as a guide to typical size and not as a promise of what any one provider will borrow.

SBA 7(a) and 504 behavioral health and addiction treatment loans in Virginia

Loans approved, FY2017 to FY202635
Gross dollars approved$21.3 million
Median loan$309,000
Middle half of loans, from$175,000
Middle half of loans, to$451,100
SBA 7(a) loans30
SBA 504 loans5
Franchise share of loans5.7%
Rank among states for behavioral health and addiction treatment loans12 of 52
Rank of behavioral health and addiction treatment among classes in Virginia17 of 39
Location quotient (share of loans against the national share)1.69x
Median loan against the national median for the class1.03x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor) not reported: fewer than 30 loans in the cohort
Charged off to date, FY2017 to FY2021 disbursed loans (a floor) not reported: fewer than 30 loans in the cohort

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 7(a) and 504 behavioral health and addiction treatment loans approved in Virginia, by fiscal year

02468FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 2Loans, FY2018: 7Loans, FY2019: 2Loans, FY2020: 5Loans, FY2021: 1Loans, FY2022: 0Loans, FY2023: 4Loans, FY2024: 5Loans, FY2025: 5Loans, FY2026: 4
Fiscal yearLoansDollars
FY20172$368,000
FY20187$1.8 million
FY20192$1.1 million
FY20205$6.6 million
FY20211$1.5 million
FY20220$0
FY20234$855,000
FY20245$1.6 million
FY20255$1.5 million
FY20264$6.0 million

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
Celtic Bank Corporation5$1.4 million

Where the loans are, by county

CountyLoans
HENRICO9
FAIRFAX5
CHESTERFIELD4
ARLINGTON2
CHESAPEAKE CITY2
PRINCE WILLIAM2
RICHMOND CITY2
BRISTOL1
DANVILLE CITY1
FAUQUIER1

Mental health and addiction treatment centers share their industry codes and cannot be separated. Shared code: Behavioral health and addiction treatment share both codes.

Source: U.S. Small Business Administration, 7(a) and 504 loan-level FOIA files (data.sba.gov), as of 2026-09-30; Loan Analytics loan-outcome cell SA-VA-C23.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a behavioral health and addiction treatment project in Virginia, 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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