Physical Therapy Clinic Feasibility Study in the Baltimore-Columbia-Towson, MD Metro Area

What SBA's own loan files show about rehabilitation and therapy clinic lending in the Baltimore-Columbia-Towson, MD Metro Area, and what a feasibility study for a project there has to test.

Baltimore-area therapy clinics: the smallest tickets in the class

The median loan for rehabilitation and therapy clinics in the Baltimore-Columbia-Towson, MD Metro Area is $125,000, only 0.83x the nationwide median, with a middle half that runs from $50,000 up to $275,000. The class stands 15 of 39 locally, the area is 29 of 406 nationally, and a 0.86x location quotient puts clinics somewhat under national weight. Across FY2017 to FY2026 the approvals number 25 and come to $5.4 million; franchising is absent (0.00%).

Recent years, counties and the holder

The printed years lean recent. FY2019 and FY2020 each show no approvals ($0), then FY2024 shows 5 loans and $975,000, FY2025 shows 5 loans and $545,000, and FY2026 shows 5 loans and $1.6 million, a complete year. Remaining years stay out of view, because 25 loans leave small yearly counts. Anne Arundel County and Baltimore County each carry 7 loans, and Howard County carries 6. Manufacturers and Traders Trust Company is recorded holding 13 loans, $1.9 million in all, which says nothing of origination. That is more than half of the 25 loans.

Blank fields

Baltimore omits cancellation and charge-off floors, as 25 approvals are too few, which leaves the gap unknown. The program counts are hidden too.

Reading small tickets and concentrated holders

When one holder carries more than half the loans, at modest dollar totals, the local market looks like repeat small financings. A new borrower should not infer a policy from this, since the page cannot show origination. What it does show is that modest requests are normal and that a larger one will need a fuller case.

What a Baltimore-area clinic study must test

Revenue comes from visits, so the study should rebuild it from therapists, visits per day, payer mix and reimbursement per visit. Referral sources, including nearby physicians and any direct access from patients, need names and volumes where possible, and so do competing clinics. Space and equipment are modest, so the larger early need is cash for the months before collections catch up. Therapist hiring and retention set capacity. Lenders will test payment coverage on lower visit counts, and a leased clinic offers little real estate to appraise, so the plan must stand on operations.

SBA rehabilitation and therapy clinic loans in the Baltimore-Columbia-Towson, MD Metro Area

Loans approved, FY2017 to FY202625
Gross dollars approved$5.4 million
Median loan$125,000
Middle half of loans, from$50,000
Middle half of loans, to$275,000
SBA 7(a) loanswithheld
SBA 504 loanswithheld
Franchise share of loans0.00%
Rank among metro and micro areas for rehabilitation and therapy clinic loans29 of 406
Rank of rehabilitation and therapy clinic among the classes in this area15 of 39
Location quotient (share of loans against the national share)0.86x
Median loan against the national median for the class0.83x

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)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 Baltimore-Columbia-Towson, MD Metro Area, by fiscal year

012345FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2019: 0Loans, FY2020: 0Loans, FY2024: 5Loans, FY2025: 5Loans, FY2026: 5
Fiscal yearLoansDollars
FY2017withheldwithheld
FY2018withheldwithheld
FY20190$0
FY20200$0
FY2021withheldwithheld
FY2022withheldwithheld
FY2023withheldwithheld
FY20245$975,000
FY20255$545,000
FY20265$1.6 million

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
Manufacturers and Traders Trust Company13$1.9 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
Anne Arundel County, MD7
Baltimore County, MD7
Howard County, MD6

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-12580-C22.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a rehabilitation and therapy clinic project in the Baltimore-Columbia-Towson, MD 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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