Physical Therapy Clinic Feasibility Study in the Boston-Cambridge-Newton, MA-NH Metro Area
What SBA's own loan files show about rehabilitation and therapy clinic lending in the Boston-Cambridge-Newton, MA-NH Metro Area, and what a feasibility study for a project there has to test.
Small clinic loans across two states
Boston-Cambridge-Newton reaches into New Hampshire, and its therapy clinic loans run small. The $100,000 median is 0.67x the class's national level, and the centre of the file lies between $50,000 and $251,350. SBA approved 84 loans between FY2017 and FY2026, but they total only $14.1 million. The area is seventh of 406 for the class and therapy clinics are thirteenth of its 39. A location quotient of 1.00x says the class has exactly its national weight here.
The programs split 70 to 14 between SBA 7(a) and SBA 504. Middlesex County has 29 of the loans, Essex County 17, Plymouth County 12, Norfolk County 8, Rockingham County, NH 7, Suffolk County 6 and Strafford County, NH 5. The franchise share for these clinics is held back by Loan Analytics.
Eastern Bank stands out
Eastern Bank is shown with 16 loans worth $1.8 million, well ahead of the rest. Manufacturers and Traders Trust Company has 6 worth $923,000 and TD Bank, National Association 6 worth $339,000, the smallest average on the list. Newtek Bank, National Association has 5 worth $850,000 and Salem Five Cents Savings Bank 5 worth $485,000. The table gives current holders and cannot tell a borrower what any holder will require.
Cancellation claimed 11.8% or more of Boston clinic approvals made across FY2017 through FY2024. Blanks also appear for a cancellation ceiling, a charge-off rate so far, and the loan counts and dollars of FY2018 and FY2022. Loan Analytics withholds each of them, and none stands for zero. The years that remain run from 6 loans in FY2017 to 20 in FY2025, worth $2.9 million, and 13 in FY2026, worth $2.2 million.
What a Boston-area therapy clinic study should test
Small loans still call for a careful clinic case. The study should show the stream of referrals from physicians and surgeons, the number of therapists the schedule can support and the visits each can complete, and the payer mix that drives revenue per visit. The metro spans Massachusetts and New Hampshire counties, so the site must be placed first and its rent sourced locally. Wage and hiring assumptions need evidence. Debt service coverage should run through a ramp as the schedule fills. The appraisal should say what collateral stands behind a request near the $100,000 median. Greater Boston counts leave out any loan with a county not recognized by the July 2023 list.
SBA rehabilitation and therapy clinic loans in the Boston-Cambridge-Newton, MA-NH Metro Area
| Loans approved, FY2017 to FY2026 | 84 |
|---|---|
| Gross dollars approved | $14.1 million |
| Median loan | $100,000 |
| Middle half of loans, from | $50,000 |
| Middle half of loans, to | $251,350 |
| SBA 7(a) loans | 70 |
| SBA 504 loans | 14 |
| Franchise share of loans | withheld |
| Rank among metro and micro areas for rehabilitation and therapy clinic loans | 7 of 406 |
| Rank of rehabilitation and therapy clinic among the classes in this area | 13 of 39 |
| Location quotient (share of loans against the national share) | 1.00x |
| Median loan against the national median for the class | 0.67x |
Cancellation and charge-off
| Cancelled after approval, FY2017 to FY2024 approvals (a floor) | 11.8% |
|---|---|
| The same, counting loans still undisbursed as cancelled (a ceiling) | 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 Boston-Cambridge-Newton, MA-NH Metro Area, by fiscal year
| Fiscal year | Loans | Dollars |
|---|---|---|
| FY2017 | 6 | $1.3 million |
| FY2018 | withheld | withheld |
| FY2019 | 6 | $592,000 |
| FY2020 | 6 | $735,000 |
| FY2021 | 9 | $2.1 million |
| FY2022 | withheld | withheld |
| FY2023 | 5 | $754,500 |
| FY2024 | 11 | $2.3 million |
| FY2025 | 20 | $2.9 million |
| FY2026 | 13 | $2.2 million |
Most active SBA lenders
| Lender | Loans | Dollars |
|---|---|---|
| Eastern Bank | 16 | $1.8 million |
| Manufacturers and Traders Trust Company | 6 | $923,000 |
| TD Bank, National Association | 6 | $339,000 |
| Newtek Bank, National Association | 5 | $850,000 |
| Salem Five Cents Savings Bank | 5 | $485,000 |
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
| County | Loans |
|---|---|
| Middlesex County, MA | 29 |
| Essex County, MA | 17 |
| Plymouth County, MA | 12 |
| Norfolk County, MA | 8 |
| Rockingham County, NH | 7 |
| Suffolk County, MA | 6 |
| Strafford County, NH | 5 |
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-14460-C22.
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