Health Care & Social Assistance
SBA Lenders for Nursing & Residential Care
Top lenders ranked by real SBA lending data for nursing & residential care nationwide.
What Borrowers Should Know
Nursing & Residential Care borrowers are getting better pricing than the national average: median spreads here are P+2.30% versus P+2.75% nationally. This 45 basis point advantage suggests lenders view this industry as lower-risk or more predictable, likely because of stable Medicare/Medicaid revenue streams. If you're in this sector, you have negotiating room—push back if a lender quotes closer to national averages.
California dominates with 1,441 of 2,347 total deals (61%)—nearly 3.6x the volume of Arizona (393 deals), the second-place state. This concentration means California borrowers face more competition for lender attention and potentially slower processing, while borrowers outside the top 5 states (CA, AZ, FL, CO, CT) may struggle to find experienced lenders familiar with care facility operations.
The top 5 lenders control 575 of 2,347 deals (24.5%), but 374 active lenders remain in the market—indicating a fragmented lending landscape. Wells Fargo leads with only 213 deals, suggesting no single lender has outsized power. Smaller, regional lenders like Columbia Bank (58 deals) and Mortgage Capital Development (64 deals) are actively competing. This fragmentation is good news: you have real alternatives if your primary lender declines or offers poor terms.
Total SBA Loans
8,128
Active Lenders
1,032
Avg Deal Size
$1.0M
Total Volume
$8.5B
Nursing & Residential Care SBA loans average $1.0M in deal size across 8,128 total loans. The median 7(a) spread in this segment is P + 2.24%.
Top Lenders for Nursing & Residential Care
Ranked by total deal count nationwide.
| # | Lender | Type | Deals | Avg Size | Spread | |
|---|---|---|---|---|---|---|
| 1 | Wells Fargo Bank National Association | Bank | 420 | $546K | P + 2.91%ABOVE AVG | |
| 2 | Columbia Bank | Bank | 270 | $927K | P + 2.17%GOOD | |
| 3 | Celtic Bank Corporation | Bank | 268 | $1.7M | P + 2.37%AVERAGE | |
| 4 | The Huntington National Bank | Bank | 228 | $433K | P + 2.02%GOOD | |
| 5 | Live Oak Banking Company | Bank | 216 | $1.9M | P + 2.02%GOOD | |
| 6 | Pinnacle Bank | Bank | 167 | $1.1M | P + 1.79%GOOD | |
| 7 | Bank Five Nine | Bank | 162 | $1.1M | P + 1.72%GOOD | |
| 8 | Mountain West Small Business F | CDC/504 | 111 | $1.3M | — | |
| 9 | U.S. Bank, National Association | Bank | 106 | $279K | P + 2.63%AVERAGE | |
| 10 | JPMorgan Chase Bank, National Association | Bank | 102 | $513K | P + 2.92%ABOVE AVG | |
| 11 | Manufacturers and Traders Trust Company | Bank | 97 | $154K | P + 2.83%ABOVE AVG | |
| 12 | Glacier Bank | Bank | 95 | $741K | P + 2.55%AVERAGE | |
| 13 | WBD, Inc. | CDC/504 | 86 | $1.0M | — | |
| 14 | Minnesota Business Finance Cor | CDC/504 | 81 | $861K | — | |
| 15 | Florida First Capital Finance | CDC/504 | 77 | $2.0M | — |
Top States for Nursing & Residential Care
Where nursing & residential care SBA lending is most active.