Physical Therapy Clinic Feasibility Study in the Houston-Pasadena-The Woodlands, TX Metro Area

Houston clinics borrow at twice the national scale

Physical therapy clinics around Houston borrow at 2.04x the national median: the median loan is $306,400, with quartile edges at $121,000 and $643,400. SBA recorded 81 loans in FY2017 to FY2026, $43.5 million gross. The area ranks 8 of 406 nationally, the class stands 13 of 39 among Houston classes, and the location quotient is 1.13x. Harris County supplies 51 loans, Fort Bend 16 and Brazoria 8.

Franchise flags attach to 25.9% of loans, a meaningful presence for a profession that is mostly independent. No program split appears for Houston physical therapy, since the 7(a) and 504 counts are withheld. The record cannot say why a clinic loan runs at twice the national norm, so the study must explain the project's scale.

Holders at the threshold

Banks listed: Frost Bank ($3.0 million across 5 loans), The Huntington National Bank ($1.5 million across 6 loans) and Wells Fargo Bank National Association ($1.8 million across 6 loans). Frost's few loans carry the highest dollar total, which points to larger tickets. Nothing about present lending follows from these holdings.

What the record cannot tell us

Cancelled approvals reach a floor of 11.5% through FY2024. Houston therapy clinics have no published cancellation ceiling, loss rate or some yearly figures; none of the gaps is a zero. A lender will therefore look to the study, not the record, for a downside view.

A franchise share of 25.9% means roughly a quarter of the clinics borrowing through SBA in Houston belong to a branded system, and those units come with fees, marketing funds and prescribed layouts. An independent clinic has none of that support and must carry its own marketing and referral development. The study should state which model applies and show how referral volume ramps from the first month, since early revenue depends on physician relationships that take time to build, and it should compare the project with the Houston median of $306,400 explicitly.

A clinic study should test referral relationships with physicians, therapist supply, payer mix and reimbursement, the lease and build-out, and coverage near $306,400. Therapy clinics in Harris, Fort Bend and Brazoria counties reach the 81 through the project county's name as matched to the July 2023 delineation; a clinic whose county fails the match is not counted anywhere, which keeps 81 a lower bound.