Industries › Health Care and Social Assistance › Ambulatory Health Care Services › Home Health Care Services
NAICS 6216Industry group0.8% of all approvals
SBA loans for home health care services
7(a) and 504 approvals to businesses SBA classifies under NAICS 6216, with the lenders and states behind them.
SBA approvals by fiscal year. The federal fiscal year runs 1 October to 30 September, so FY2025 is 1 October 2024 to 30 September 2025. *FY2026 is open: approvals to 30 Jun 2026 only.
SBA approved 2,896 loans to businesses in home health care services (NAICS 6216) in FY2021 to FY2025, worth $1.44bn: 2,749 under 7(a) and 147 under 504.
That is 0.8% of all approvals. Set against the 40,762 establishments the Census Bureau counts in the industry, it comes to 71.0 approvals per 1,000 establishments; across all industries the figure is 41.0.
In FY2025 there were 890 approvals, up 42% on FY2024. The median 7(a) approval was $200K, against $190K for all industries, and 23.8% of approvals went to franchise businesses.
Of 7(a) loans approved in FY2010 to FY2021 and disbursed, SBA records 6.5% as charged off, close to the 6.6% for all industries.
Loan status is as recorded by SBA at the data date; charge-off rates are computed on loans approved at least five fiscal years ago. Jobs supported are self-reported estimates from the SBA loan application, which SBA does not review, audit or validate. Data through 30 Jun 2026.
Volume by fiscal year
| Fiscal year | 7(a) approvals | 7(a) dollars | Median 7(a) | 504 approvals | 504 dollars | All approvals | Jobs supported, as reported |
|---|---|---|---|---|---|---|---|
| FY2026* | 408 | $226M | $200K | 27 | $28.1M | 435 | 14,484 |
| FY2025 | 849 | $382M | $200K | 41 | $38.3M | 890 | 28,052 |
| FY2024 | 602 | $235M | $150K | 23 | $16.4M | 625 | 19,424 |
| FY2023 | 455 | $229M | $200K | 20 | $17.0M | 475 | 17,494 |
| FY2022 | 420 | $199M | $166K | 24 | $19.2M | 444 | 14,118 |
| FY2021 | 423 | $281M | $341K | 39 | $24.4M | 462 | 17,981 |
| FY2020 | 302 | $156M | $251K | 29 | $11.5M | 331 | 12,341 |
| FY2019 | 377 | $164M | $150K | 28 | $15.3M | 405 | 13,512 |
| FY2018 | 378 | $154M | $166K | 24 | $11.3M | 402 | 13,581 |
| FY2017 | 433 | $167M | $150K | 17 | $12.8M | 450 | 16,670 |
| FY2016 | 414 | $142M | $125K | 21 | $17.4M | 435 | 15,531 |
SBA records the NAICS code in force when a loan was approved. The 2022 NAICS revision renumbered parts of retail trade and information, so some lines of business appear under one code before FY2023 and another after. FY2016–FY2020 approvals under this code: 2,023.
Lenders most active in this industry
By number of approvals, FY2021–FY2025; 365 lenders had at least one.
| # | Lender | Approvals | Dollars | Share | |
|---|---|---|---|---|---|
| 1 | The Huntington National BankColumbus, OH | 478 | $97.5M | 16.5% | |
| 2 | Live Oak Banking CompanyWilmington, NC | 212 | $192M | 7.3% | |
| 3 | Northeast BankLewiston, ME | 130 | $28.3M | 4.5% | |
| 4 | Newtek Bank, National AssociationMiami, FL | 112 | $68.3M | 3.9% | |
| 5 | Readycap Lending, LLCBerkeley Heights, NJ | 103 | $23.2M | 3.6% | |
| 6 | U.S. Bank, National AssociationCincinnati, OH | 95 | $37.7M | 3.3% | |
| 7 | BayFirst National BankSaint Petersburg, FL | 93 | $16.3M | 3.2% | |
| 8 | Wells Fargo Bank National AssociationSioux Falls, SD | 86 | $16.1M | 3.0% | |
| 9 | Manufacturers and Traders Trust CompanyBuffalo, NY | 73 | $7.7M | 2.5% | |
| 10 | Associated Bank National AssociationGreen Bay, WI | 63 | $31.9M | 2.2% | |
| 11 | CIBC Bank USAChicago, IL | 57 | $24.3M | 2.0% | |
| 12 | CDC Small Business Finance Corp.San Diego, CA | 52 | $8.8M | 1.8% | |
| 13 | JPMorgan Chase Bank, National AssociationColumbus, OH | 48 | $10.1M | 1.7% | |
| 14 | United Midwest Savings Bank National AssociationDe Graff, OH | 48 | $8.1M | 1.7% | |
| 15 | Byline BankChicago, IL | 47 | $71.0M | 1.6% | |
| 16 | Newtek Small Business Finance, Inc.Lake Success, NY | 43 | $30.6M | 1.5% | |
| 17 | First Bank of the LakeOsage Beach, MO | 42 | $10.7M | 1.5% | |
| 18 | Celtic Bank CorporationSalt Lake City, UT | 41 | $21.6M | 1.4% | |
| 19 | KeyBank National AssociationCleveland, OH | 33 | $12.5M | 1.1% | |
| 20 | Lendistry SBLC, LLCLos Angeles, CA | 22 | $7.3M | 0.8% |
States
| # | State of the business | Approvals | Dollars | Share | |
|---|---|---|---|---|---|
| 1 | California | 391 | $251M | 13.5% | |
| 2 | Ohio | 289 | $73.6M | 10.0% | |
| 3 | Texas | 261 | $165M | 9.0% | |
| 4 | Florida | 235 | $130M | 8.1% | |
| 5 | Minnesota | 140 | $77.6M | 4.8% | |
| 6 | Pennsylvania | 121 | $61.4M | 4.2% | |
| 7 | Illinois | 113 | $49.2M | 3.9% | |
| 8 | Michigan | 104 | $41.4M | 3.6% | |
| 9 | Virginia | 97 | $44.0M | 3.3% | |
| 10 | Maryland | 91 | $32.7M | 3.1% | |
| 11 | Georgia | 90 | $39.1M | 3.1% | |
| 12 | Massachusetts | 84 | $42.3M | 2.9% | |
| 13 | Indiana | 72 | $23.0M | 2.5% | |
| 14 | New Jersey | 66 | $31.3M | 2.3% | |
| 15 | Colorado | 64 | $32.4M | 2.2% |
Franchise brands
23.8% of approvals carried a franchise code.
| # | Brand | Approvals | Share | |
|---|---|---|---|---|
| 1 | Home Instead | 107 | 3.7% | |
| 2 | BrightStar Care | 72 | 2.5% | |
| 3 | Senior Helpers | 55 | 1.9% | |
| 4 | Visiting Angels | 48 | 1.7% | |
| 5 | Right at Home | 45 | 1.6% | |
| 6 | Nurse Next Door | 33 | 1.1% | |
| 7 | ComForCare Home Care and At Your Side Home Care | 30 | 1.0% | |
| 8 | Homewatch CareGivers | 29 | 1.0% | |
| 9 | Comfort Keepers | 26 | 0.9% | |
| 10 | SYNERGY HomeCare | 21 | 0.7% |
Approval sizes
- $50,000 or less18.9%548
- $50,001 to $150,00025.0%725
- $150,001 to $350,00022.2%643
- $350,001 to $1 million20.1%582
- $1 million to $2 million8.9%257
- Over $2 million4.9%141
Age of the businesses
- Existing, more than 2 years old55.2%1,600
- New business, 2 years or less14.6%424
- Startup, loan funds will open the business15.6%451
- Change of ownership14.3%414
- Not answered0.2%7
Charge-offs against all industries
| Loans approved FY2010–FY2021 | This industry, 7(a) | All 7(a) | This industry, 504 | All 504 |
|---|---|---|---|---|
| Approvals in these years | 4,040 | 639,905 | 336 | 85,591 |
| Cancelled or never disbursed | 486 | 79,313 | 46 | 12,514 |
| Disbursed loans | 3,554 | 560,592 | 290 | 73,077 |
| Paid in full | 2,676 | 435,813 | 139 | 35,491 |
| Charged off | 230 | 36,891 | 5 | 905 |
| Still outstanding (status exempt from disclosure) | 648 | 87,888 | 146 | 36,681 |
| Charged off, share of disbursed loans | 6.5% | 6.6% | 1.7% | 1.2% |
| Dollars charged off, share of disbursed dollars | 2.8% | 2.5% | 1.8% | 0.9% |
| Dollars charged off | $38.9M | $5.70bn | $2.6M | $499M |
Against all industries
| FY2021–FY2025 | NAICS 6216 | All industries |
|---|---|---|
| Median 7(a) approval | $200K | $190K |
| Median 504 approval | $549K | $657K |
| Average approval | $497K | $573K |
| Approvals per 1,000 establishments | 71.0 | 41.0 |
| Approvals to franchise businesses | 23.8% | 11.2% |
| Jobs supported per approval, as reported | 33.5 | 10.5 |
Questions and answers
Which lenders make the most SBA loans for home health care services?
By approvals in FY2021 to FY2025: The Huntington National Bank (478), Live Oak Banking Company (212), Northeast Bank (130), Newtek Bank, National Association (112), Readycap Lending, LLC (103). 365 lenders had at least one.
How large are typical SBA loans for home health care services?
The median 7(a) approval was $200K and the median 504 approval $549K; the average across both programs was $497K.
What share of SBA loans for home health care services are charged off?
Of 7(a) loans approved in FY2010 to FY2021 and disbursed, 6.5% are recorded as charged off, against 6.6% for all industries; for 504 loans, 1.7% against 1.2%.
Which states have the most SBA loans for home health care services?
California (391), Ohio (289), Texas (261), Florida (235), Minnesota (140).
Is SBA lending for home health care services rising?
Approvals in the three latest complete fiscal years total 1,990, against 1,237 in the three before: rising (+61%).
About these figures
Figures are totals of the Small Business Administration's 7(a) and 504 FOIA loan files, data through 30 Jun 2026. SBA updates the files quarterly. Counts are loan approvals, including approvals later cancelled; the five-year window is FY2021–FY2025, the five latest complete fiscal years. Charge-off rates use only loans approved in FY2010–FY2021, at least five fiscal years ago, and count disbursed loans SBA records as charged off. Loans are listed under the lender they are assigned to today. Establishment counts are from the Census Bureau's County Business Patterns 2023, which leaves out most farms, government and businesses without employees. Dollar figures behind fewer than three approvals are not shown, and no borrower is named anywhere on this site.Methodology · Report an error