Physical Therapy Clinic Feasibility Study in the San Antonio-New Braunfels, TX Metro Area

San Antonio-New Braunfels: strong ratios for therapy clinics

In SBA's San Antonio-New Braunfels, TX record, physical therapy clinics rank 12th of 39 classes, and the area stands 21 of 406 for the class. The 34 loans total $13.0 million over FY2017 to FY2026. Both ratios run high: a location quotient of 1.75x and a median loan of $267,000 at 1.78x the national median. In this area, therapy clinics are common and they are financed at close to one and three-quarter times the usual scale.

Of the 34 loans, 29 are 7(a) and 5 are 504. Franchise units make up 17.6%, so most clinics are independent. Middle-half loans stretch from $150,000 to $554,000, and no lender in this cell holds 5 or more of them. Bexar County accounts for 24 of the 34.

Two printable years

Only FY2022, with 5 loans worth $2.8 million, and FY2023, with 5 loans worth $944,500, can be shown. No other San Antonio year clears the printing line. Because the cohort holds under 30 loans, San Antonio gets no cancellation or charge-off rate. With two years there is no basis for a direction, and the fall in dollars from FY2022 to FY2023 for the same count is a reminder that loan size varies widely between years.

Franchise units are a minority at 17.6%, so a plan for an independent clinic has plenty of precedent here, and a plan inside a franchise system should explain how its fees compare. The ratio of 1.78x to the national median deserves attention from the borrower: a request at the local median is already well above what a clinic of the same class would draw elsewhere, so the build-out budget needs line-by-line support.

What a San Antonio therapy study must test

A study for a clinic has to test visit volume against treatment rooms and staffing, the reimbursement mix that decides revenue per visit, and the referral base that fills the schedule. Its budget for fit-out and equipment should be set beside the $267,000 median, show a ramp until visits reach the level debt service needs, and treat the lease as a fixed obligation. Since the location quotient and the size ratio are both high here, a lender will ask what is different about the specific site, and the study should answer with evidence on access and nearby providers.