Physical Therapy Clinic Feasibility Study in the Atlanta-Sandy Springs-Roswell, GA Metro Area

What SBA's own loan files show about rehabilitation and therapy clinic lending in the Atlanta-Sandy Springs-Roswell, GA Metro Area, and what a feasibility study for a project there has to test.

Sixth of 406 areas for therapy clinic loans, with a thin public record

Metro Atlanta places sixth among 406 areas for rehabilitation and therapy clinic loans, though therapy sits only fourteenth among its own 39 classes. SBA approved 85 loans here for $35.7 million between FY2017 and FY2026. A $220,500 median puts Atlanta clinic loans at 1.47x the national figure, and half of them fall from $100,000 to $448,000. The location quotient of 1.13x leans modestly toward the class, and franchise flags appear on 9.4% of loans, so most clinics are owner-operated.

Programs split 76 to SBA 7(a) and 9 to SBA 504. Gwinnett County has 18, Fulton County 13, DeKalb County 11, Forsyth County 10, Cherokee County and Cobb County 8 each, and Clayton County 5.

A short lender list

Only two holders reach the listing floor in SBA's tables. Live Oak Banking Company is shown with 8 loans and $4.8 million. Readycap Lending, LLC is shown with 5 loans worth just $265,000, which suggests very small loans. No 504 holder appears. These are the present holders of record, and a borrower should not take them as a guide to what any lender will ask.

Little is printed for this cell. No rate for cancellation and none for charge-off to date appears, and Loan Analytics blanks the yearly loans and dollars for every year but two. The visible years are FY2017, with 11 loans worth $5.3 million, and FY2020, with 5 loans worth $1.9 million. Each blank rests on few loans and is no zero. A reader therefore has no outcome floor for Atlanta therapy clinics, and a study should lean on its own evidence about the practice.

Testing a therapy clinic in the Atlanta suburbs

A clinic study begins with referrals. Most patients arrive through physicians, so the study must show how many referring practices lie within reach and how the owner will keep them. It then tests therapist capacity: visits per therapist per day, hiring and licensing, and the time a new clinic needs to fill its schedule. Payer mix and reimbursement rates set revenue per visit. An appraiser has to separate leasehold improvement and treatment equipment from the cash flow that supports value, since collateral alone will be thin. Gwinnett, Fulton and DeKalb counts take in only loans matched on the July 2023 list, which keeps them low.

SBA rehabilitation and therapy clinic loans in the Atlanta-Sandy Springs-Roswell, GA Metro Area

Loans approved, FY2017 to FY202685
Gross dollars approved$35.7 million
Median loan$220,500
Middle half of loans, from$100,000
Middle half of loans, to$448,000
SBA 7(a) loans76
SBA 504 loans9
Franchise share of loans9.4%
Rank among metro and micro areas for rehabilitation and therapy clinic loans6 of 406
Rank of rehabilitation and therapy clinic among the classes in this area14 of 39
Location quotient (share of loans against the national share)1.13x
Median loan against the national median for the class1.47x

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 rehabilitation and therapy clinic loans approved in the Atlanta-Sandy Springs-Roswell, GA Metro Area, by fiscal year

02.557.51012.5FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 11Loans, FY2020: 5
Fiscal yearLoansDollars
FY201711$5.3 million
FY2018withheldwithheld
FY2019withheldwithheld
FY20205$1.9 million
FY2021withheldwithheld
FY2022withheldwithheld
FY2023withheldwithheld
FY2024withheldwithheld
FY2025withheldwithheld
FY2026withheldwithheld

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
Live Oak Banking Company8$4.8 million
Readycap Lending, LLC5$265,000

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
Gwinnett County, GA18
Fulton County, GA13
DeKalb County, GA11
Forsyth County, GA10
Cherokee County, GA8
Cobb County, GA8
Clayton County, GA5

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.

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-12060-C22.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a rehabilitation and therapy clinic project in the Atlanta-Sandy Springs-Roswell, GA 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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