SBA 7(a) Hospital Feasibility Study in California

What SBA's own loan files show about SBA 7(a) lending to hospital projects in California, and what a feasibility study for an SBA 7(a) loan there has to test.

Scale of California hospital lending

SBA lists 26 SBA 7(a) loans to hospitals in California between FY2017 and FY2026, with $19.4 million in gross dollars approved in California. $160,000 is the California median, and the middle half of hospitals loans stretches from $28,300 to $496,550. Against the national hospitals median under SBA 7(a), the California median stands at 0.80x, which puts California below the national figure for hospitals. California's franchise share is 0.00%; owners of California hospitals operate independently.

Rank 1 among states and 30 of 39 among California classes: that is how California hospitals stand under SBA 7(a). California hospitals reached their top year in FY2021 with 5 loans and $9.2 million, and FY2026 lists 4 loans worth $2.4 million. California leads all states in 7(a) hospital loans by count, though the class ranks low among California's classes, and the median loan is small for a hospital.

No holder table exists for 26 California loans, so a hospital borrower asks lenders in California directly. By area, Los Angeles leads with 12 loans, then San Diego with 3 and Fresno with 2. Lower on the list are Orange 2, Alameda 1 and Riverside 1.

Reading the outcome floors for California hospitals

Since California shows only 26 loans, the California cancellation cohort is too small, and also the funded California group is too small for losses. Neither blank is a zero. California's hospital counts take in critical access hospitals, which have no code of their own. SBA lending alone is counted in California. Read these California figures as history for hospitals; whether a California project is financed depends on that project alone in California.

What a California hospital study must prove

A hospital study needs the service area near Los Angeles, the beds and specialties, and admitting physicians. Public and private payers drive revenue, so reflect payer mix and slow collections. Nurses and specialists are the largest cost and the biggest risk to the opening date. Licensing rules can delay a project, so test the timeline first. A loan near $160,000 says little about a hospital's capital needs, and an appraiser values the facility on going-concern earnings. Emergency volume and transfer agreements shape the census.

SBA 7(a) hospital loans in California

Loans approved, FY2017 to FY202626
Gross dollars approved$19.4 million
Median loan$160,000
Middle half of loans, from$28,300
Middle half of loans, to$496,550
Franchise share of loans0.00%
Rank among states for SBA 7(a) hospital loans, by number of loans1
Rank of hospital among classes in California30 of 39
Median loan against the national SBA 7(a) median for the class0.80x

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) hospital loans approved in California, by fiscal year

012345FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 2Loans, FY2018: 4Loans, FY2019: 1Loans, FY2020: 2Loans, FY2021: 5Loans, FY2022: 1Loans, FY2023: 2Loans, FY2024: 1Loans, FY2025: 4Loans, FY2026: 4
Fiscal yearLoansDollars
FY20172$625,000
FY20184$771,200
FY20191$10,000
FY20202$209,000
FY20215$9.2 million
FY20221$170,000
FY20232$5.0 million
FY20241$15,000
FY20254$1.0 million
FY20264$2.4 million

Where the loans are, by county

CountyLoans
LOS ANGELES12
SAN DIEGO3
FRESNO2
ORANGE2
ALAMEDA1
RIVERSIDE1
SACRAMENTO1
SAN FRANCISCO1
SOLANO1
STANISLAUS1

Critical access hospitals cannot be separated. Shared code: Critical access hospitals have no own code.

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 SAP-CA-C24-7A.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a hospital project in California, 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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