Physical Therapy Clinic Feasibility Study in the Kansas City, MO-KS Metro Area

What SBA's own loan files show about rehabilitation and therapy clinic lending in the Kansas City, MO-KS Metro Area, and what a feasibility study for a project there has to test.

Rehabilitation clinics in the Kansas City area

Rehabilitation and therapy clinics sit 15 of 39 among the classes in the Kansas City, MO-KS area, though nationally the area is 29 of 406 for them. Approvals come to 25 loans and $10.4 million in the FY2017 to FY2026 record. A location quotient of 1.08x is only a little over parity, and the median loan of $135,000 is 0.90x the class's median nationwide, a little under it. Both ratios sit near parity, so the area's clinic lending looks ordinary in weight and size, and its standing among metro areas comes from the number of loans more than from anything unusual in them.

Range, brands, holder and county

Loans between $65,000 and $414,000 form the middle half, which covers practice start-ups and equipment as well as larger fit-outs. Franchise brands attach to 20.0%. Johnson County, KS records 14 loans. SBA 7(a) holder detail reaches only First National Bank of Omaha, with 6 loans and $1.5 million. The program split is not printed.

Both FY2019 and FY2025 are empty, with 0 loans and $0 recorded, so no clinic loan was approved. FY2026, a complete fiscal year, reads 7 loans and $6.3 million, much the largest year printed, and the page cannot say whether it marks a change or a single cluster of loans. Other years are too thin to list. No cancellation or charge-off rate is given, since Loan Analytics needs 30 loans in the base.

What a clinic study here has to test

Revenue in a therapy clinic comes from visits, so a study ought to open with the referral base: which physicians and employers send patients, how many visits a therapist can deliver in a week, and what each visit pays after insurance. It should test staffing and licensure, the number of treatment rooms, and equipment against a typical loan of $135,000, and show the debt payment covered while the schedule fills. A practice buying an existing clinic should show how patients stay through the change. A lender will ask about payer mix and reimbursement risk. Kansas City's boundary, spanning two states, is drawn from the July 2023 list and the county of each financed site.

SBA rehabilitation and therapy clinic loans in the Kansas City, MO-KS Metro Area

Loans approved, FY2017 to FY202625
Gross dollars approved$10.4 million
Median loan$135,000
Middle half of loans, from$65,000
Middle half of loans, to$414,000
SBA 7(a) loanswithheld
SBA 504 loanswithheld
Franchise share of loans20.0%
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)1.08x
Median loan against the national median for the class0.90x

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 Kansas City, MO-KS Metro Area, by fiscal year

02468FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2019: 0Loans, FY2025: 0Loans, FY2026: 7
Fiscal yearLoansDollars
FY2017withheldwithheld
FY2018withheldwithheld
FY20190$0
FY2020withheldwithheld
FY2021withheldwithheld
FY2022withheldwithheld
FY2023withheldwithheld
FY2024withheldwithheld
FY20250$0
FY20267$6.3 million

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
First National Bank of Omaha6$1.5 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
Johnson County, KS14

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-28140-C22.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a rehabilitation and therapy clinic project in the Kansas City, MO-KS 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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