Industries › Health Care and Social Assistance › Nursing and Residential Care Facilities
NAICS 623Subsector0.7% of all approvals
SBA loans for nursing and residential care facilities
7(a) and 504 approvals to businesses SBA classifies under NAICS 623, 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 2,555 loans to businesses in nursing and residential care facilities (NAICS 623) in FY2021 to FY2025, worth $2.85bn: 2,071 under 7(a) and 484 under 504.
That is 0.7% of all approvals. Set against the 94,771 establishments the Census Bureau counts in the industry, it comes to 27.0 approvals per 1,000 establishments; across all industries the figure is 41.0.
In FY2025 there were 590 approvals, up 18% on FY2024. The median 7(a) approval was $700K, against $190K for all industries, and 2.4% of approvals went to franchise businesses.
Of 7(a) loans approved in FY2010 to FY2021 and disbursed, SBA records 2.4% 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* | 276 | $320M | $588K | 72 | $122M | 348 | 5,884 |
| FY2025 | 486 | $484M | $518K | 104 | $118M | 590 | 10,169 |
| FY2024 | 399 | $395M | $500K | 103 | $119M | 502 | 8,933 |
| FY2023 | 374 | $384M | $697K | 87 | $111M | 461 | 9,165 |
| FY2022 | 331 | $354M | $732K | 93 | $137M | 424 | 6,192 |
| FY2021 | 481 | $630M | $875K | 97 | $123M | 578 | 10,413 |
| FY2020 | 306 | $362M | $732K | 71 | $93.0M | 377 | 6,378 |
| FY2019 | 326 | $293M | $537K | 61 | $70.2M | 387 | 6,362 |
| FY2018 | 354 | $288M | $491K | 80 | $97.9M | 434 | 7,620 |
| FY2017 | 399 | $345M | $527K | 86 | $83.4M | 485 | 9,157 |
| FY2016 | 360 | $277M | $400K | 94 | $125M | 454 | 7,570 |
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: 2,137.
Within this subsector
| NAICS | Industry group | Approvals, FY2021–FY2025 | Share |
|---|---|---|---|
| 6233 | Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly | 1,565 | 61.3% |
| 6231 | Nursing Care Facilities (Skilled Nursing Facilities) | 422 | 16.5% |
| 6232 | Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities | 394 | 15.4% |
| 6239 | Other Residential Care Facilities | 174 | 6.8% |
Lenders most active in this industry
By number of approvals, FY2021–FY2025; 396 lenders had at least one.
| # | Lender | Approvals | Dollars | Share | |
|---|---|---|---|---|---|
| 1 | Live Oak Banking CompanyWilmington, NC | 163 | $271M | 6.4% | |
| 2 | Columbia BankLake Oswego, OR | 138 | $131M | 5.4% | |
| 3 | Celtic Bank CorporationSalt Lake City, UT | 119 | $215M | 4.7% | |
| 4 | The Huntington National BankColumbus, OH | 101 | $26.3M | 4.0% | |
| 5 | Newtek Bank, National AssociationMiami, FL | 63 | $36.4M | 2.5% | |
| 6 | Pinnacle BankMorgan Hill, CA | 62 | $81.4M | 2.4% | |
| 7 | Wells Fargo Bank National AssociationSioux Falls, SD | 54 | $15.1M | 2.1% | |
| 8 | Harvest Small Business Finance, LLCLaguna Hills, CA | 47 | $53.4M | 1.8% | |
| 9 | Readycap Lending, LLCBerkeley Heights, NJ | 42 | $51.5M | 1.6% | |
| 10 | Bank Five NineOconomowoc, WI | 42 | $51.3M | 1.6% | |
| 11 | BayFirst National BankSaint Petersburg, FL | 37 | $9.5M | 1.4% | |
| 12 | Northeast BankLewiston, ME | 37 | $6.7M | 1.4% | |
| 13 | America First Federal Credit UnionRiverdale, UT | 36 | $56.4M | 1.4% | |
| 14 | Mortgage Capital Development CorporationOakland, CA · CDC | 36 | $52.7M | 1.4% | |
| 15 | Newtek Small Business Finance, Inc.Lake Success, NY | 36 | $36.8M | 1.4% | |
| 16 | Manufacturers and Traders Trust CompanyBuffalo, NY | 36 | $4.4M | 1.4% | |
| 17 | Byline BankChicago, IL | 31 | $55.7M | 1.2% | |
| 18 | Mountain West Small Business FinanceSalt Lake City, UT · CDC | 29 | $47.2M | 1.1% | |
| 19 | Commonwealth Business BankLos Angeles, CA | 28 | $33.6M | 1.1% | |
| 20 | Florida First Capital Finance Corporation, Inc.Tallahassee, FL · CDC | 25 | $52.1M | 1.0% |
States
| # | State of the business | Approvals | Dollars | Share | |
|---|---|---|---|---|---|
| 1 | California | 504 | $603M | 19.7% | |
| 2 | Washington | 211 | $206M | 8.3% | |
| 3 | Florida | 206 | $250M | 8.1% | |
| 4 | Arizona | 154 | $144M | 6.0% | |
| 5 | Texas | 143 | $208M | 5.6% | |
| 6 | Minnesota | 136 | $137M | 5.3% | |
| 7 | Michigan | 97 | $71.7M | 3.8% | |
| 8 | Wisconsin | 92 | $89.9M | 3.6% | |
| 9 | Oregon | 61 | $62.6M | 2.4% | |
| 10 | Ohio | 57 | $37.8M | 2.2% | |
| 11 | Puerto Rico | 57 | $11.1M | 2.2% | |
| 12 | Utah | 56 | $94.3M | 2.2% | |
| 13 | Georgia | 54 | $77.0M | 2.1% | |
| 14 | Pennsylvania | 54 | $64.7M | 2.1% | |
| 15 | North Carolina | 53 | $59.8M | 2.1% |
Franchise brands
2.4% of approvals carried a franchise code.
| # | Brand | Approvals | Share | |
|---|---|---|---|---|
| 1 | Bee Hive Homes | 37 | 1.4% | |
| 2 | Legato Living | 5 | 0.2% | |
| 3 | A Place At Home | 3 | 0.1% | |
| 4 | Visiting Angels | 2 | 0.1% | |
| 5 | Avendelle | 2 | 0.1% | |
| 6 | Ellie Mental Health | 2 | 0.1% | |
| 7 | DRIPBaR | 2 | 0.1% | |
| 8 | Assisted Living Locators | 1 | 0.0% | |
| 9 | Silver Treasures Senior Living, LLC | 1 | 0.0% | |
| 10 | Majestic Residences | 1 | 0.0% |
Approval sizes
- $50,000 or less9.2%236
- $50,001 to $150,00010.0%256
- $150,001 to $350,00012.3%315
- $350,001 to $1 million30.6%783
- $1 million to $2 million20.8%531
- Over $2 million17.0%434
Age of the businesses
- Existing, more than 2 years old46.1%1,177
- New business, 2 years or less17.2%439
- Startup, loan funds will open the business19.3%492
- Change of ownership17.5%446
- Not answered0.0%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 | 3,595 | 639,905 | 1,093 | 85,591 |
| Cancelled or never disbursed | 494 | 79,313 | 235 | 12,514 |
| Disbursed loans | 3,101 | 560,592 | 858 | 73,077 |
| Paid in full | 2,264 | 435,813 | 482 | 35,491 |
| Charged off | 73 | 36,891 | 13 | 905 |
| Still outstanding (status exempt from disclosure) | 764 | 87,888 | 363 | 36,681 |
| Charged off, share of disbursed loans | 2.4% | 6.6% | 1.5% | 1.2% |
| Dollars charged off, share of disbursed dollars | 0.5% | 2.5% | 1.0% | 0.9% |
| Dollars charged off | $15.0M | $5.70bn | $9.1M | $499M |
Against all industries
| FY2021–FY2025 | NAICS 623 | All industries |
|---|---|---|
| Median 7(a) approval | $700K | $190K |
| Median 504 approval | $794K | $657K |
| Average approval | $1.1M | $573K |
| Approvals per 1,000 establishments | 27.0 | 41.0 |
| Approvals to franchise businesses | 2.4% | 11.2% |
| Jobs supported per approval, as reported | 17.6 | 10.5 |
Questions and answers
Which lenders make the most SBA loans for nursing and residential care facilities?
By approvals in FY2021 to FY2025: Live Oak Banking Company (163), Columbia Bank (138), Celtic Bank Corporation (119), The Huntington National Bank (101), Newtek Bank, National Association (63). 396 lenders had at least one.
How large are typical SBA loans for nursing and residential care facilities?
The median 7(a) approval was $700K and the median 504 approval $794K; the average across both programs was $1.1M.
What share of SBA loans for nursing and residential care facilities are charged off?
Of 7(a) loans approved in FY2010 to FY2021 and disbursed, 2.4% are recorded as charged off, against 6.6% for all industries; for 504 loans, 1.5% against 1.2%.
Which states have the most SBA loans for nursing and residential care facilities?
California (504), Washington (211), Florida (206), Arizona (154), Texas (143).
Is SBA lending for nursing and residential care facilities rising?
Approvals in the three latest complete fiscal years total 1,553, against 1,379 in the three before: rising (+13%).
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