SBA 7(a) Urgent Care Feasibility Study in Texas

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

Scale of Texas urgent care center lending

The file for Texas urgent care centers under SBA 7(a) holds 40 loans from FY2017 to FY2026 and $68.3 million of gross dollars. The median Texas loan is $1.1 million, and the middle half of urgent care centers loans runs from $547,525 to $2.4 million. On the SBA 7(a) scale nationwide, Texas urgent care centers read 1.58x, an upward tilt for urgent care centers in Texas. A franchise listing appears on 5.0% of the loans in this urgent care center cell for Texas.

On SBA 7(a) loan counts for urgent care centers, rank 1 belongs to Texas; the class sits at 26 of 39 in Texas's own table. Volume crested in FY2017: 8 loans, $17.4 million; and FY2026 lists 4 loans worth $7.7 million. Texas leads all states in 7(a) urgent care lending, and loans run above the national median, so this cell shows the national leader apart from its blended class page.

Most Texas loans sit with PNC Bank, National Association, which holds 6 worth $11.4 million. Texas holders appear as SBA reports them, PNC Bank, National Association first; each holds or held urgent care centers loans here. Geographically, Harris stands first with 7, Fort Bend second with 6, and Bexar third with 4. The tail of the Texas top ten includes Collin 3, Comal 2 and Tarrant 2.

Outcomes and data limits for Texas

Within Texas, FY2017 to FY2024 approvals report 8.6% as the least that was cancelled, with the same 8.6% as a Texas ceiling once undisbursed loans count. Losses stay unprinted: funded loans in Texas are too few, and a Texas blank is not a clean bill. Texas walk-in clinics, ambulatory surgery centers and freestanding emergency rooms are filed together, so no figure here isolates urgent care alone. Only loans in SBA's Texas files appear.

What a Texas urgent care study must prove

Volume depends on location, hours and payer contracts, so the study should count walk-in demand near Harris and the clinics competing for it. Staffing extended hours is the hardest budget line: show recruiting and retention, not only a payroll figure. Uninsured visits move margin, so test payments on a loan near $1.1 million with a conservative payer mix. Imaging, laboratory equipment and licensing make build-out large, and the use of funds should be itemized room by room. An appraiser values medical space on alternative use, and a single-function layout may limit what it can be converted to.

SBA 7(a) urgent care and ambulatory surgery loans in Texas

Loans approved, FY2017 to FY202640
Gross dollars approved$68.3 million
Median loan$1.1 million
Middle half of loans, from$547,525
Middle half of loans, to$2.4 million
Franchise share of loans5.0%
Rank among states for SBA 7(a) urgent care and ambulatory surgery loans, by number of loans1
Rank of urgent care and ambulatory surgery among classes in Texas26 of 39
Median loan against the national SBA 7(a) median for the class1.58x

Cancellation and charge-off

Cancelled after approval, FY2017 to FY2024 approvals (a floor) 8.6%
The same, counting loans still undisbursed as cancelled (a ceiling)8.6%
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) urgent care and ambulatory surgery loans approved in Texas, by fiscal year

02468FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2024FY2025FY2026Loans, FY2017: 8Loans, FY2018: 4Loans, FY2019: 2Loans, FY2020: 0Loans, FY2021: 7Loans, FY2022: 4Loans, FY2023: 4Loans, FY2024: 6Loans, FY2025: 1Loans, FY2026: 4
Fiscal yearLoansDollars
FY20178$17.4 million
FY20184$2.7 million
FY20192$903,500
FY20200$0
FY20217$11.1 million
FY20224$7.3 million
FY20234$8.8 million
FY20246$11.9 million
FY20251$500,000
FY20264$7.7 million

Most active SBA lenders

SBA 7(a): lenders by loans approved (the current holder of each loan, as SBA reports it)
LenderLoansDollars
PNC Bank, National Association6$11.4 million

Where the loans are, by county

CountyLoans
HARRIS7
FORT BEND6
BEXAR4
COLLIN3
COMAL2
TARRANT2
TRAVIS2
ANGELINA1
BRAZORIA1
DALLAS1

Mental health and addiction treatment centers share their industry codes and cannot be separated. Shared code: Urgent care, ambulatory surgery and freestanding emergency centers share 621493.

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-TX-C16-7A.

Loan Analytics prepares the feasibility study a lender reads before it commits: for a urgent care and ambulatory surgery project in Texas, 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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