Industries › Health Care and Social Assistance › Hospitals › General Medical and Surgical Hospitals
NAICS 6221Industry group0.0% of all approvals
SBA loans for general medical and surgical hospitals
7(a) and 504 approvals to businesses SBA classifies under NAICS 6221, 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 78 loans to businesses in general medical and surgical hospitals (NAICS 6221) in FY2021 to FY2025, worth $57.7M: 76 under 7(a) and 2 under 504.
That is 0.0% of all approvals. Set against the 5,777 establishments the Census Bureau counts in the industry, it comes to 13.5 approvals per 1,000 establishments; across all industries the figure is 41.0.
In FY2025 there were 26 approvals, up 53% on FY2024. The median 7(a) approval was $250K, against $190K for all industries, and 3.8% of approvals went to franchise businesses.
Of 7(a) loans approved in FY2010 to FY2021 and disbursed, SBA records 4.9% 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* | 15 | $5.2M | $244K | 1 | — | 16 | 108 |
| FY2025 | 25 | $7.8M | $150K | 1 | — | 26 | 364 |
| FY2024 | 16 | $15.5M | $425K | 1 | — | 17 | 293 |
| FY2023 | 11 | $14.1M | $975K | 0 | — | 11 | 153 |
| FY2022 | 10 | $2.7M | $198K | 0 | — | 10 | 48 |
| FY2021 | 14 | $13.5M | $407K | 0 | — | 14 | 191 |
| FY2020 | 9 | $5.9M | $109K | 1 | — | 10 | 158 |
| FY2019 | 17 | $15.7M | $300K | 0 | — | 17 | 462 |
| FY2018 | 10 | $2.4M | $175K | 0 | — | 10 | 79 |
| FY2017 | 15 | $9.9M | $150K | 1 | — | 16 | 105 |
| FY2016 | 7 | $6.0M | $150K | 0 | — | 7 | 289 |
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: 60.
Lenders most active in this industry
By number of approvals, FY2021–FY2025; 42 lenders had at least one.
| # | Lender | Approvals | Dollars | Share | |
|---|---|---|---|---|---|
| 1 | Northeast BankLewiston, ME | 9 | $2.4M | 11.5% | |
| 2 | The Huntington National BankColumbus, OH | 5 | $2.1M | 6.4% | |
| 3 | United Community BankGreenville, SC | 4 | $4.2M | 5.1% | |
| 4 | Hancock Whitney BankGulfport, MS | 4 | $1.6M | 5.1% | |
| 5 | U.S. Bank, National AssociationCincinnati, OH | 3 | $5.1M | 3.8% | |
| 6 | Banterra BankMarion, IL | 3 | $1.4M | 3.8% | |
| 7 | Webster Bank National AssociationWaterbury, CT | 3 | $1.3M | 3.8% | |
| 8 | Wells Fargo Bank National AssociationSioux Falls, SD | 3 | $75K | 3.8% | |
| 9 | CalPrivate BankLa Jolla, CA | 2 | — | 2.6% | |
| 10 | Metro City BankDoraville, GA | 2 | — | 2.6% | |
| 11 | Fifth Third BankCincinnati, OH | 2 | — | 2.6% | |
| 12 | ChoiceOne BankSparta, MI | 2 | — | 2.6% | |
| 13 | BayFirst National BankSaint Petersburg, FL | 2 | — | 2.6% | |
| 14 | Liberty National BankSioux City, IA | 2 | — | 2.6% | |
| 15 | Manufacturers and Traders Trust CompanyBuffalo, NY | 2 | — | 2.6% | |
| 16 | PlainsCapital BankDallas, TX | 2 | — | 2.6% | |
| 17 | Celtic Bank CorporationSalt Lake City, UT | 2 | — | 2.6% | |
| 18 | The Community BankZanesville, OH | 2 | — | 2.6% | |
| 19 | US Metro BankGarden Grove, CA | 1 | — | 1.3% | |
| 20 | TD Bank, National AssociationWilmington, DE | 1 | — | 1.3% |
States
| # | State of the business | Approvals | Dollars | Share | |
|---|---|---|---|---|---|
| 1 | Florida | 13 | $10.3M | 16.7% | |
| 2 | California | 9 | $15.9M | 11.5% | |
| 3 | Ohio | 7 | $1.1M | 9.0% | |
| 4 | Texas | 6 | $2.7M | 7.7% | |
| 5 | Georgia | 4 | $3.2M | 5.1% | |
| 6 | Michigan | 4 | $1.9M | 5.1% | |
| 7 | North Carolina | 3 | $6.5M | 3.8% | |
| 8 | Oklahoma | 3 | $2.1M | 3.8% | |
| 9 | Utah | 3 | $1.4M | 3.8% | |
| 10 | Washington | 3 | $750K | 3.8% | |
| 11 | Massachusetts | 2 | — | 2.6% | |
| 12 | Illinois | 2 | — | 2.6% | |
| 13 | Iowa | 2 | — | 2.6% | |
| 14 | Connecticut | 2 | — | 2.6% | |
| 15 | Louisiana | 2 | — | 2.6% |
Franchise brands
3.8% of approvals carried a franchise code.
| # | Brand | Approvals | Share | |
|---|---|---|---|---|
| 1 | American Family Care | 2 | 2.6% | |
| 2 | Serotonin | 1 | 1.3% |
Approval sizes
- $50,000 or less15.4%12
- $50,001 to $150,00021.8%17
- $150,001 to $350,00021.8%17
- $350,001 to $1 million21.8%17
- $1 million to $2 million9.0%7
- Over $2 million10.3%8
Age of the businesses
- Existing, more than 2 years old47.4%37
- New business, 2 years or less24.4%19
- Startup, loan funds will open the business26.9%21
- Change of ownership1.3%1
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 | 179 | 639,905 | 7 | 85,591 |
| Cancelled or never disbursed | 37 | 79,313 | 3 | 12,514 |
| Disbursed loans | 142 | 560,592 | 4 | 73,077 |
| Paid in full | 112 | 435,813 | 4 | 35,491 |
| Charged off | 7 | 36,891 | 0 | 905 |
| Still outstanding (status exempt from disclosure) | 23 | 87,888 | 0 | 36,681 |
| Charged off, share of disbursed loans | 4.9% | 6.6% | too few loans | 1.2% |
| Dollars charged off, share of disbursed dollars | 1.2% | 2.5% | too few loans | 0.9% |
| Dollars charged off | $980K | $5.70bn | — | $499M |
Against all industries
| FY2021–FY2025 | NAICS 6221 | All industries |
|---|---|---|
| Median 7(a) approval | $250K | $190K |
| Median 504 approval | — | $657K |
| Average approval | $740K | $573K |
| Approvals per 1,000 establishments | 13.5 | 41.0 |
| Approvals to franchise businesses | 3.8% | 11.2% |
| Jobs supported per approval, as reported | 13.4 | 10.5 |
Questions and answers
Which lenders make the most SBA loans for general medical and surgical hospitals?
By approvals in FY2021 to FY2025: Northeast Bank (9), The Huntington National Bank (5), United Community Bank (4), Hancock Whitney Bank (4), U.S. Bank, National Association (3). 42 lenders had at least one.
How large are typical SBA loans for general medical and surgical hospitals?
The median 7(a) approval was $250K; the average across both programs was $740K.
What share of SBA loans for general medical and surgical hospitals are charged off?
Of 7(a) loans approved in FY2010 to FY2021 and disbursed, 4.9% are recorded as charged off, against 6.6% for all industries.
Which states have the most SBA loans for general medical and surgical hospitals?
Florida (13), California (9), Ohio (7), Texas (6), Georgia (4).
Is SBA lending for general medical and surgical hospitals rising?
Approvals in the three latest complete fiscal years total 54, against 34 in the three before: rising (+59%).
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