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 FY202684
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) loans70
SBA 504 loans14
Franchise share of loanswithheld
Rank among metro and micro areas for rehabilitation and therapy clinic loans7 of 406
Rank of rehabilitation and therapy clinic among the classes in this area13 of 39
Location quotient (share of loans against the national share)1.00x
Median loan against the national median for the class0.67x

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

05101520FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 6Loans, FY2019: 6Loans, FY2020: 6Loans, FY2021: 9Loans, FY2023: 5Loans, FY2024: 11Loans, FY2025: 20Loans, FY2026: 13
Fiscal yearLoansDollars
FY20176$1.3 million
FY2018withheldwithheld
FY20196$592,000
FY20206$735,000
FY20219$2.1 million
FY2022withheldwithheld
FY20235$754,500
FY202411$2.3 million
FY202520$2.9 million
FY202613$2.2 million

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
Eastern Bank16$1.8 million
Manufacturers and Traders Trust Company6$923,000
TD Bank, National Association6$339,000
Newtek Bank, National Association5$850,000
Salem Five Cents Savings Bank5$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

CountyLoans
Middlesex County, MA29
Essex County, MA17
Plymouth County, MA12
Norfolk County, MA8
Rockingham County, NH7
Suffolk County, MA6
Strafford County, NH5

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.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a rehabilitation and therapy clinic project in the Boston-Cambridge-Newton, MA-NH 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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