Industries › Health Care and Social Assistance › Hospitals
NAICS 622Subsector0.0% of all approvals
SBA loans for hospitals
7(a) and 504 approvals to businesses SBA classifies under NAICS 622, 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.
Businesses classified under NAICS 622, hospitals, received 134 SBA loan approvals worth $81.2M in FY2021 to FY2025 (131 7(a), 3 504).
That is 0.0% of all approvals. Set against the 7,523 establishments the Census Bureau counts in the industry, it comes to 17.8 approvals per 1,000 establishments; across all industries the figure is 41.0.
In FY2025 there were 35 approvals, up 17% on FY2024. The median 7(a) approval was $200K, against $190K for all industries, and 6.0% of approvals went to franchise businesses.
Of 7(a) loans approved in FY2010 to FY2021 and disbursed, SBA records 5.5% as charged off, below 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* | 17 | $5.4M | $244K | 1 | — | 18 | 123 |
| FY2025 | 34 | $14.7M | $150K | 1 | — | 35 | 593 |
| FY2024 | 29 | $22.5M | $244K | 1 | — | 30 | 484 |
| FY2023 | 18 | $15.8M | $323K | 0 | — | 18 | 237 |
| FY2022 | 23 | $6.2M | $170K | 0 | — | 23 | 119 |
| FY2021 | 27 | $16.4M | $250K | 1 | — | 28 | 419 |
| FY2020 | 13 | $8.4M | $109K | 1 | — | 14 | 223 |
| FY2019 | 23 | $20.8M | $200K | 0 | — | 23 | 519 |
| FY2018 | 15 | $3.3M | $225K | 0 | — | 15 | 142 |
| FY2017 | 30 | $15.9M | $125K | 2 | — | 32 | 222 |
| FY2016 | 19 | $9.7M | $109K | 4 | $2.7M | 23 | 629 |
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: 107.
Within this subsector
| NAICS | Industry group | Approvals, FY2021–FY2025 | Share |
|---|---|---|---|
| 6221 | General Medical and Surgical Hospitals | 78 | 58.2% |
| 6222 | Psychiatric and Substance Abuse Hospitals | 29 | 21.6% |
| 6223 | Specialty (except Psychiatric and Substance Abuse) Hospitals | 27 | 20.1% |
Lenders most active in this industry
By number of approvals, FY2021–FY2025; 60 lenders had at least one.
| # | Lender | Approvals | Dollars | Share | |
|---|---|---|---|---|---|
| 1 | The Huntington National BankColumbus, OH | 21 | $4.9M | 15.7% | |
| 2 | Northeast BankLewiston, ME | 11 | $2.5M | 8.2% | |
| 3 | Wells Fargo Bank National AssociationSioux Falls, SD | 10 | $190K | 7.5% | |
| 4 | Manufacturers and Traders Trust CompanyBuffalo, NY | 5 | $530K | 3.7% | |
| 5 | United Community BankGreenville, SC | 4 | $4.2M | 3.0% | |
| 6 | Webster Bank National AssociationWaterbury, CT | 4 | $1.9M | 3.0% | |
| 7 | Hancock Whitney BankGulfport, MS | 4 | $1.6M | 3.0% | |
| 8 | Readycap Lending, LLCBerkeley Heights, NJ | 4 | $494K | 3.0% | |
| 9 | U.S. Bank, National AssociationCincinnati, OH | 3 | $5.1M | 2.2% | |
| 10 | Banterra BankMarion, IL | 3 | $1.4M | 2.2% | |
| 11 | BayFirst National BankSaint Petersburg, FL | 3 | $650K | 2.2% | |
| 12 | Celtic Bank CorporationSalt Lake City, UT | 3 | $492K | 2.2% | |
| 13 | CalPrivate BankLa Jolla, CA | 2 | — | 1.5% | |
| 14 | Metro City BankDoraville, GA | 2 | — | 1.5% | |
| 15 | First-Citizens Bank & Trust CompanyRaleigh, NC | 2 | — | 1.5% | |
| 16 | Wilmington Savings Fund Society FSBWilmington, DE | 2 | — | 1.5% | |
| 17 | Fifth Third BankCincinnati, OH | 2 | — | 1.5% | |
| 18 | KeyBank National AssociationCleveland, OH | 2 | — | 1.5% | |
| 19 | ChoiceOne BankSparta, MI | 2 | — | 1.5% | |
| 20 | Liberty National BankSioux City, IA | 2 | — | 1.5% |
States
| # | State of the business | Approvals | Dollars | Share | |
|---|---|---|---|---|---|
| 1 | Florida | 18 | $11.3M | 13.4% | |
| 2 | Ohio | 18 | $2.6M | 13.4% | |
| 3 | California | 14 | $16.8M | 10.4% | |
| 4 | Michigan | 7 | $6.9M | 5.2% | |
| 5 | Texas | 7 | $3.1M | 5.2% | |
| 6 | Georgia | 5 | $4.1M | 3.7% | |
| 7 | Illinois | 5 | $1.8M | 3.7% | |
| 8 | Washington | 5 | $950K | 3.7% | |
| 9 | Oklahoma | 4 | $2.3M | 3.0% | |
| 10 | Virginia | 4 | $1.7M | 3.0% | |
| 11 | Colorado | 4 | $1.1M | 3.0% | |
| 12 | North Carolina | 3 | $6.5M | 2.2% | |
| 13 | Massachusetts | 3 | $5.8M | 2.2% | |
| 14 | Utah | 3 | $1.4M | 2.2% | |
| 15 | New Jersey | 3 | $1.3M | 2.2% |
Franchise brands
6.0% of approvals carried a franchise code.
| # | Brand | Approvals | Share | |
|---|---|---|---|---|
| 1 | American Family Care | 4 | 3.0% | |
| 2 | Ellie Mental Health | 2 | 1.5% | |
| 3 | Serotonin | 1 | 0.7% | |
| 4 | Alleviant | 1 | 0.7% |
Approval sizes
- $50,000 or less21.6%29
- $50,001 to $150,00022.4%30
- $150,001 to $350,00022.4%30
- $350,001 to $1 million19.4%26
- $1 million to $2 million6.7%9
- Over $2 million7.5%10
Age of the businesses
- Existing, more than 2 years old44.0%59
- New business, 2 years or less25.4%34
- Startup, loan funds will open the business28.4%38
- Change of ownership2.2%3
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 | 291 | 639,905 | 26 | 85,591 |
| Cancelled or never disbursed | 55 | 79,313 | 8 | 12,514 |
| Disbursed loans | 236 | 560,592 | 18 | 73,077 |
| Paid in full | 185 | 435,813 | 16 | 35,491 |
| Charged off | 13 | 36,891 | 0 | 905 |
| Still outstanding (status exempt from disclosure) | 38 | 87,888 | 2 | 36,681 |
| Charged off, share of disbursed loans | 5.5% | 6.6% | too few loans | 1.2% |
| Dollars charged off, share of disbursed dollars | 2.2% | 2.5% | too few loans | 0.9% |
| Dollars charged off | $2.8M | $5.70bn | — | $499M |
Against all industries
| FY2021–FY2025 | NAICS 622 | All industries |
|---|---|---|
| Median 7(a) approval | $200K | $190K |
| Median 504 approval | $1.5M | $657K |
| Average approval | $606K | $573K |
| Approvals per 1,000 establishments | 17.8 | 41.0 |
| Approvals to franchise businesses | 6.0% | 11.2% |
| Jobs supported per approval, as reported | 13.8 | 10.5 |
Questions and answers
Which lenders make the most SBA loans for hospitals?
By approvals in FY2021 to FY2025: The Huntington National Bank (21), Northeast Bank (11), Wells Fargo Bank National Association (10), Manufacturers and Traders Trust Company (5), United Community Bank (4). 60 lenders had at least one.
How large are typical SBA loans for hospitals?
The median 7(a) approval was $200K and the median 504 approval $1.5M; the average across both programs was $606K.
What share of SBA loans for hospitals are charged off?
Of 7(a) loans approved in FY2010 to FY2021 and disbursed, 5.5% are recorded as charged off, against 6.6% for all industries.
Which states have the most SBA loans for hospitals?
Florida (18), Ohio (18), California (14), Michigan (7), Texas (7).
Is SBA lending for hospitals rising?
Approvals in the three latest complete fiscal years total 83, against 65 in the three before: rising (+28%).
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