SBA 7(a) Physical Therapy Clinic Feasibility Study in Kentucky

Kentucky therapy clinics: ordinary loans in a fragmented map

Rehabilitation and therapy clinics in Kentucky take loans close to the national scale: the median of $150,000 comes to 1.07x the national one, and loans near the middle of the group fall from $50,000 to $325,000. The record holds 27 approvals worth $11.5 million. Franchising is 0.00%. Kentucky ranks 32 among states by loan count, and clinics fill slot 16 of 39 in Kentucky's mix. With no metric passing our margin test, the interest lies in geography and in what the page cannot report.

A map with no dominant county

Fayette County leads with 4 loans, then Daviess and Jefferson at 3 apiece, and Clark, Henderson, Madison, Simpson and Taylor at 2 apiece, a spread that reaches Lexington, Owensboro, Louisville and smaller towns. The page ranks no lenders for this cell. Approvals included none in FY2020 and FY2022 and a heavy FY2026 with 4 loans and $5.4 million, the heaviest year for dollars. FY2019 carried 6 loans and $697,000, while FY2017 had one loan of $51,000.

The cancellation measure and the charge-off measure are blank in this cell, as the loans behind them are too few. Blank is not zero.

A feasibility reading for Kentucky

A clinic in a smaller Kentucky town may be the only one for a wide area, and a study should measure how far patients will travel and how many referring physicians are within reach. In Lexington or Louisville the study must instead address competition from established groups and hospital-owned practices. Referral sources, therapist headcount, visits per therapist and the payer mix decide revenue, and Medicaid and Medicare exposure should be tested because reimbursement per visit is a main uncertainty. A loan of $150,000 often funds equipment or light improvements, but if it supports an acquisition, retention of the seller's therapists and referrals decides value. A lease long enough to repay improvements is essential. Show the months to a working caseload, what the owner takes as pay, and a lower-volume case, together with the lease terms, tenant improvement allowance and the date on which payer credentialing is expected to finish. Appraisal will favour the business and its leasehold.

Because no lender is listed for this cell, a Kentucky borrower should not assume any particular institution is familiar with the class. The study should therefore explain the clinic business from first principles: how a visit is scheduled, billed and collected, and how long payment takes to arrive.