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

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

Pennsylvania therapy clinics: very small tickets

Rehabilitation and therapy clinics in Pennsylvania take about half of what the class borrows nationally, and the loans are tiny. SBA's 7(a) file counts 73 loans for FY2017 to FY2026, worth $15.1 million in gross dollars. At $77,000 the median stands at 0.55x what clinics borrow around the country, with the central half of loans from $25,000 to $230,000, so many deals are startups in leased space or small purchases of existing practices. Franchise brands appear on 16.4% of loans. Pennsylvania is 12th nationally by count, and the class holds 18 of 39 inside the state.

Holders, counties and a year with none

The Huntington National Bank holds 15 loans, and Manufacturers and Traders Trust Company and TD Bank, National Association hold 8 each, and each is the holder SBA shows today. Allegheny County, around Pittsburgh, has 15 loans, Montgomery 10, and Bucks and Philadelphia 7 each. Year by year, approvals reached 8 in FY2017, were absent in FY2020 with 0 loans, and recovered to 14 in FY2023 and 20 worth $5.8 million in FY2025. FY2021 shows a single loan of $350,000.

The charge-off rate is withheld

Pennsylvania therapy clinics lost at least 6.7% of FY2017 to FY2024 approvals to cancellation, and the ceiling is identical. No Pennsylvania charge-off rate appears: the seasoned group is too small for a dependable figure, so no number is printed here and nothing should be inferred from its absence: a missing rate means thin evidence, not a clean record.

Pennsylvania therapy plan: the evidence needed

A therapy clinic lives on referrals, so the study should map the physician practices, hospitals and employers in the catchment that can send patients, and show the payer contracts the clinic can realistically hold. Visits per therapist per day, the average payment per visit and the share of cancelled appointments together set revenue, and the study should show each. Licensed therapists are scarce in many places; their pay and the time to hire them belong in the model. With a median near $77,000 the loan is likely for fit-out and equipment in leased space, which means a short or uncertain lease can end the business. Coverage of the payment has to hold when the first months run well below planned visit volume, and a franchise, where one is used, adds fees that must be netted out.

SBA 7(a) rehabilitation and therapy clinic loans in Pennsylvania

Loans approved, FY2017 to FY202673
Gross dollars approved$15.1 million
Median loan$77,000
Middle half of loans, from$25,000
Middle half of loans, to$230,000
Franchise share of loans16.4%
Rank among states for SBA 7(a) rehabilitation and therapy clinic loans, by number of loans12
Rank of rehabilitation and therapy clinic among classes in Pennsylvania18 of 39
Median loan against the national SBA 7(a) median for the class0.55x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor) 6.7%
The same, counting loans still undisbursed as cancelled (a ceiling)6.7%
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 Pennsylvania, by fiscal year

05101520FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 8Loans, FY2018: 5Loans, FY2019: 6Loans, FY2020: 0Loans, FY2021: 1Loans, FY2022: 6Loans, FY2023: 14Loans, FY2024: 5Loans, FY2025: 20Loans, FY2026: 8
Fiscal yearLoansDollars
FY20178$962,500
FY20185$400,000
FY20196$348,100
FY20200$0
FY20211$350,000
FY20226$3.6 million
FY202314$2.2 million
FY20245$153,500
FY202520$5.8 million
FY20268$1.2 million

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
The Huntington National Bank15$2.9 million
Manufacturers and Traders Trust Company8$373,000
TD Bank, National Association8$360,000

Where the loans are, by county

CountyLoans
ALLEGHENY15
MONTGOMERY10
BUCKS7
PHILADELPHIA7
CUMBERLAND4
DAUPHIN4
LACKAWANNA3
WASHINGTON3
BERKS2
BLAIR2

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-PA-C22-7A.

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