Physical Therapy Clinic Feasibility Study in Kentucky

What SBA's own loan files show about rehabilitation and therapy clinic lending in Kentucky, and what a feasibility study for a project there has to test.

Rehabilitation clinics in Kentucky

Across FY2017 to FY2026, Kentucky shows 28 rehabilitation and therapy clinic loans that total $11.7 million. By count the state ranks 34 of 54, a mid-table position, and within Kentucky the class stands 16 of 39. A location quotient of 1.02x indicates that therapy clinics take almost the same share of the state's approvals as they do nationally. In short, Kentucky behaves like an average market for this class, so a sponsor should not expect either a crowd of precedent loans or an absence of them.

Where the record stands

The median loan is $165,900, or 1.11x the class benchmark nationally, a slightly heavier ticket than in the country as a whole. Loans in the central band run $50,000 to $312,500. Programs are overwhelmingly SBA 7(a), with 27 loans against 1 under SBA 504, while franchised clinics are absent (0.00%). The page has no lender table, so a borrower cannot read a preferred bank from this record. Fayette County leads with 5 loans, Daviess and Jefferson have 3 each, and Clark, Henderson, Madison, Simpson and Taylor have 2 each; Edmonson and Jessamine have 1 each.

Outcome rates are not shown

Where cancellations and charge-offs are concerned, the Kentucky cohorts are too thin for SBA-based percentages to be printed. That omission is deliberate. It does not signal a zero, and a lender looking for outcome evidence should turn to national pages for the class.

What a study for a Kentucky therapy clinic has to establish

Referral volume decides whether a clinic survives. A study should identify the physician practices, hospital systems and employers within reach that can feed patients, and the other clinics competing for the same referrals. It should test daily visits per therapist against a realistic payer mix and reimbursement, the staffing a licensed practice needs, and the cost of fit-out and equipment against a typical ticket near $165,900. Debt service coverage must hold during a ramp in which the first months produce few visits. If the sponsor will own the real estate, the appraisal needs to show the space could be released to a different healthcare tenant.

The figures describe the class of rehabilitation and therapy clinics as a whole, so a study should read them as a class picture for Kentucky rather than as a count of any one kind of practice.

SBA 7(a) and 504 rehabilitation and therapy clinic loans in Kentucky

Loans approved, FY2017 to FY202628
Gross dollars approved$11.7 million
Median loan$165,900
Middle half of loans, from$50,000
Middle half of loans, to$312,500
SBA 7(a) loans27
SBA 504 loans1
Franchise share of loans0.00%
Rank among states for rehabilitation and therapy clinic loans34 of 54
Rank of rehabilitation and therapy clinic among classes in Kentucky16 of 39
Location quotient (share of loans against the national share)1.02x
Median loan against the national median for the class1.11x

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) not reported: fewer than 30 loans in the cohort

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 7(a) and 504 rehabilitation and therapy clinic loans approved in Kentucky, by fiscal year

0246FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 1Loans, FY2018: 4Loans, FY2019: 6Loans, FY2020: 1Loans, FY2021: 2Loans, FY2022: 0Loans, FY2023: 4Loans, FY2024: 4Loans, FY2025: 2Loans, FY2026: 4
Fiscal yearLoansDollars
FY20171$51,000
FY20184$620,000
FY20196$697,000
FY20201$241,000
FY20212$1.8 million
FY20220$0
FY20234$499,000
FY20244$925,000
FY20252$1.4 million
FY20264$5.4 million

Where the loans are, by county

CountyLoans
FAYETTE5
DAVIESS3
JEFFERSON3
CLARK2
HENDERSON2
MADISON2
SIMPSON2
TAYLOR2
EDMONSON1
JESSAMINE1

Source: U.S. Small Business Administration, 7(a) and 504 loan-level FOIA files (data.sba.gov), as of 2026-09-30; Loan Analytics loan-outcome cell SA-KY-C22.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a rehabilitation and therapy clinic project in Kentucky, 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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