Physical Therapy Clinic Feasibility Study in the San Francisco-Oakland-Fremont, CA Metro Area

What SBA's own loan files show about rehabilitation and therapy clinic lending in the San Francisco-Oakland-Fremont, CA Metro Area, and what a feasibility study for a project there has to test.

Bay Area therapy clinics borrow big

The standout figure for rehabilitation and therapy clinics in the San Francisco-Oakland-Fremont, CA Metro Area is the median loan: $485,900, which is 3.24x the nationwide median for these clinics. Everything else is more ordinary. Locally the class lands at 18 of 39, the area is 20 of 406 for clinics, and a 0.74x location quotient puts them below national weight in local lending. FY2017 through FY2026 produced 35 approvals and $20.7 million.

Where the loans sit and how they are structured

A span from $105,000 to $905,250 holds the middle half of loans, with a long upper reach. Program counts: 28 under 7(a), 7 under 504. Alameda County carries 12 of the loans, Contra Costa County 9 and San Mateo County 8. Four recent years print: FY2023 recorded no approvals ($0), FY2024 recorded 6 loans and $6.8 million, FY2025 recorded 7 loans and $2.3 million, and FY2026 recorded 5 loans and $1.8 million. The earlier years, FY2017 to FY2022, stay hidden. JPMorgan Chase Bank, National Association appears in the holder data with 5 loans, $2.0 million, a custody fact.

Gaps, and what a gap means

Three items are missing from the page: franchise share, the cancellation floor and the charge-off floor. An early cohort this small cannot support a Loan Analytics rate, and the franchise count sits on too few loans to show. None of these blanks implies a zero. Because the area stretches across several counties, a clinic in one county should not borrow another county's loan counts as its evidence.

Study points for a Bay Area clinic

That median is a reason to look hard at the cost side. A study should price tenant improvements and equipment against the lease, test whether the rent is carried by realistic visits per therapist, and map referral sources and competing clinics within the site's reach. Payer mix and reimbursement per visit decide revenue, while therapist hiring and pay set the pace of growth. A lender will test payment coverage on conservative visit counts, and a request near or above $485,900 needs support for why the site justifies it. A leased clinic leaves little real estate to appraise, so the business plan carries the case.

SBA rehabilitation and therapy clinic loans in the San Francisco-Oakland-Fremont, CA Metro Area

Loans approved, FY2017 to FY202635
Gross dollars approved$20.7 million
Median loan$485,900
Middle half of loans, from$105,000
Middle half of loans, to$905,250
SBA 7(a) loans28
SBA 504 loans7
Franchise share of loanswithheld
Rank among metro and micro areas for rehabilitation and therapy clinic loans20 of 406
Rank of rehabilitation and therapy clinic among the classes in this area18 of 39
Location quotient (share of loans against the national share)0.74x
Median loan against the national median for the class3.24x

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 San Francisco-Oakland-Fremont, CA Metro Area, by fiscal year

02468FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2023: 0Loans, FY2024: 6Loans, FY2025: 7Loans, FY2026: 5
Fiscal yearLoansDollars
FY2017withheldwithheld
FY2018withheldwithheld
FY2019withheldwithheld
FY2020withheldwithheld
FY2021withheldwithheld
FY2022withheldwithheld
FY20230$0
FY20246$6.8 million
FY20257$2.3 million
FY20265$1.8 million

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
JPMorgan Chase Bank, National Association5$2.0 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
Alameda County, CA12
Contra Costa County, CA9
San Mateo County, CA8

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-41860-C22.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a rehabilitation and therapy clinic project in the San Francisco-Oakland-Fremont, CA 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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