SBA 7(a) Physical Therapy Clinic Feasibility Study in North Carolina

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

Bigger than the national loan, in a mid-ranked class

North Carolina's rehabilitation and therapy clinics borrow at 1.79x of the nationwide 7(a) median for the class. That ratio, with a median loan of $250,000, defines the cell. The 66 approvals between FY2017 and FY2026 total $27.0 million, and half of the loans fall from $86,400 to $547,400. The state ranks 14 among states, though therapy clinics place only 15 of 39 at home. Franchise flags mark 6.1% of loans, so most clinics are independent practices.

Holders and counties

Wells Fargo Bank National Association holds 9 loans worth $3.0 million and Pinnacle Bank holds 5 worth $2.7 million. Those are the only two holders large enough to list, which tells us the book is widely spread among many small positions. SBA's holder file is the source and conveys no judgment on any bank. Mecklenburg County has 11 loans, Wake 10 and Durham 6, with Brunswick and Gaston at 4 each, and Catawba, Iredell, New Hanover and Onslow at 3 each.

Cancellations, and a rate held back

A floor of 15.7% of earlier approvals fell away before closing, and the stricter count gives the same figure, so a considerable share of approved loans never funded. Charge-offs are unmeasured here: the early funded group is too small for a percentage, so the page prints none, and the gap is neither a clean record nor a zero.

What a therapy clinic study has to test

A therapy practice earns by visits, so the study should convert treatment rooms and therapist hours into visits per week, then to revenue using the reimbursement rates of the payers the clinic will bill. Referral sources matter most: which doctors, surgeons and employers send patients, and whether one of them supplies a large share. Licensed therapists are the key staff and the study should address recruiting and retention, along with what happens if a founder leaves. Payer mix, authorisation rules and the time collections take drive working capital, which the loan should fund. Since loans run above the national norm, each line of the fit-out and equipment budget needs a reason. The loan payment must stay covered while the schedule fills from opening day, and a slower filling pattern belongs beside the base case.

SBA 7(a) rehabilitation and therapy clinic loans in North Carolina

Loans approved, FY2017 to FY202666
Gross dollars approved$27.0 million
Median loan$250,000
Middle half of loans, from$86,400
Middle half of loans, to$547,400
Franchise share of loans6.1%
Rank among states for SBA 7(a) rehabilitation and therapy clinic loans, by number of loans14
Rank of rehabilitation and therapy clinic among classes in North Carolina15 of 39
Median loan against the national SBA 7(a) median for the class1.79x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor) 15.7%
The same, counting loans still undisbursed as cancelled (a ceiling)15.7%
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) rehabilitation and therapy clinic loans approved in North Carolina, by fiscal year

0246810FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 8Loans, FY2018: 5Loans, FY2019: 4Loans, FY2020: 1Loans, FY2021: 10Loans, FY2022: 5Loans, FY2023: 10Loans, FY2024: 8Loans, FY2025: 7Loans, FY2026: 8
Fiscal yearLoansDollars
FY20178$2.1 million
FY20185$647,200
FY20194$1.9 million
FY20201$72,000
FY202110$8.9 million
FY20225$1.9 million
FY202310$2.4 million
FY20248$2.6 million
FY20257$4.2 million
FY20268$2.4 million

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
Wells Fargo Bank National Association9$3.0 million
Pinnacle Bank5$2.7 million

Where the loans are, by county

CountyLoans
MECKLENBURG11
WAKE10
DURHAM6
BRUNSWICK4
GASTON4
CATAWBA3
IREDELL3
NEW HANOVER3
ONSLOW3
CABARRUS2

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-NC-C22-7A.

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