Home Health Care Services: SBA business acquisition loan data
649 SBA 7(a) loans since FY2018 financed the purchase of an existing business classified as Home Health Care Services (NAICS 621610), totaling $681M. Median loan $700,000, 8% higher than the all-acquisition median. Annual volume rose 41% from FY2024 to FY2026. 48% of these deals were franchised units.
- Loans, FY2018-FY2026
- 649
- Median loan
- $700,000 (middle half $308,000 to $1,385,000)
- Top lender
- Live Oak Banking Company (31%, 200 loans)
- Top state
- Texas
- Charge-off, FY2018-FY2021 loans
- 1.8% (all-acquisition: 3.5%)
- FY2026 loans (latest complete year)
- 93 (+1% vs FY2025)
SBA lenders approved 649 7(a) loans to buy businesses in the Home Health Care Services industry from FY2018-FY2026, with a median of $700,000 and a middle half of $308,000 to $1,385,000. Live Oak Banking Company made 31% of them. FY2026 had 93 loans, about flat from FY2025.
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Reading this industry's numbers
- Deal size. The loan excludes the buyer's equity and any seller note and may include working capital. A loan request far above $1,385,000 would be in the top quarter of SBA acquisition loans in this industry.
- Share of all acquisitions. This industry is 1.3% of all SBA-financed business purchases, ranking #12 of 300 industries tracked.
- Geography. Texas leads with 76 loans; the top five states account for 42% of the industry's acquisitions.
- Jobs. Lenders reported 35,519 jobs supported across these loans, about 54.7 per acquisition, a rough proxy for the size of business changing hands.
How the Home Health Care Services industry compares
| Measure | Home Health Care Services | All acquisitions |
|---|---|---|
| Median loan | $700,000 | $645,250 |
| Middle half of loans | $308,000 to $1,385,000 | $283,000 to $1,465,000 |
| Average initial rate | 7.81% | 7.76% |
| Median term | 10 years | 10 years |
| Charge-off rate (seasoned loans) | 1.8% | 3.5% |
| Loans in sample | 649 | 48,902 |
The median for Home Health Care Services acquisition loans is $700,000, slightly above the $645,250 median for all SBA-financed acquisitions nationally.
The middle half runs $308,000 to $1,385,000, against $283,000 to $1,465,000 nationally; the median term is 10 years, the same as the national median; the average initial rate is 7.81%, in line with the 7.76% national average.
Seasoned loans were charged off at 1.8%, well below the 3.5% rate for all acquisition loans.
Loan size distribution
| Loan size | Home Health Care Services | All acquisitions |
|---|---|---|
| Under $350K | 27% | 30% |
| $350K to under $1M | 35% | 33% |
| $1M to under $2M | 21% | 19% |
| $2M and over | 16% | 17% |
Most Home Health Care Services acquisition loans (63%) were under $1M, and the largest single band is $350K to under $1M at 35%, against 33% of all acquisition loans.
Bands are fixed dollar ranges chosen for comparison. They are not SBA program limits.
Lender concentration
Live Oak Banking Company made 31% of Home Health Care Services acquisition loans, and the top three lenders together made 43%. 44 of the 150 lenders involved made three or more. Repeat experience is spread across many banks. That is a rough guide to how many banks have seen this kind of deal before.
Recent activity
In FY2025 and FY2026 combined, 185 Home Health Care Services acquisition loans were approved. That is 45% more than the 128 approved in FY2023 and FY2024. The median was $875,000, above the $700,000 median across all years.
Home Health Care Services acquisitions by year
| Fiscal year | Loans | Total approved | Median loan | |
|---|---|---|---|---|
| FY2018 | 47 | $33.4M | $464,700 | |
| FY2019 | 63 | $67.3M | $596,200 | |
| FY2020 | 70 | $65.2M | $785,450 | |
| FY2021 | 97 | $93.2M | $660,000 | |
| FY2022 | 59 | $65.6M | $833,000 | |
| FY2023 | 62 | $55.9M | $680,500 | |
| FY2024 | 66 | $58.9M | $571,750 | |
| FY2025 | 92 | $108M | $730,000 | |
| FY2026 | 93 | $134M | $880,000 |
How often do these acquisition loans fail?
Of the 277 Home Health Care Services acquisition loans approved from FY2018 to FY2021 (the seasoned cohort, every loan at least about five years old), 5 have been charged off by the SBA, a rate of 1.8% by loan count and 0.7% by dollars. 149 have already been paid in full.
For comparison, the charge-off rate across all SBA 7(a) acquisition loans in the same cohort is 3.5%, so Home Health Care Services is 49% lower than the acquisition-loan average. Non-acquisition 7(a) loans (every other stated purpose) approved FY2018 to FY2021 charged off at 6.2%.
"Charged off" is the SBA's final loss action on a defaulted loan after collection efforts. It lags default by a year or more, which is why only older cohorts are measured. It is not the same as a delinquency rate, and loans still outstanding can still fail. See charge-off in the glossary.
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Top states
| # | State | Loans | Share | Dollars | |
|---|---|---|---|---|---|
| 1 | Texas | 76 | 11.7% | $82M | |
| 2 | California | 76 | 11.7% | $79.7M | |
| 3 | Florida | 58 | 8.9% | $61.8M | |
| 4 | Minnesota | 34 | 5.2% | $32.3M | |
| 5 | Ohio | 28 | 4.3% | $37.5M | |
| 6 | Pennsylvania | 27 | 4.2% | $29M | |
| 7 | Massachusetts | 26 | 4.0% | $27.9M | |
| 8 | Illinois | 25 | 3.9% | $22M | |
| 9 | Virginia | 23 | 3.5% | $21.3M | |
| 10 | Georgia | 22 | 3.4% | $19.4M |
Most active lenders
| # | Lender | Loans | Share | Dollars | |
|---|---|---|---|---|---|
| 1 | Live Oak Banking Company | 200 | 30.8% | $223M | |
| 2 | Associated Bank National Association | 43 | 6.6% | $46.1M | |
| 3 | CIBC Bank USA | 38 | 5.9% | $26.2M | |
| 4 | Byline Bank | 29 | 4.5% | $43.1M | |
| 5 | The Huntington National Bank | 26 | 4.0% | $28.7M | |
| 6 | Beacon Bank and Trust | 9 | 1.4% | $13.3M | |
| 7 | First Internet Bank of Indiana | 9 | 1.4% | $7.5M | |
| 8 | Stearns Bank National Association | 9 | 1.4% | $5.1M | |
| 9 | BankVista | 8 | 1.2% | $6.3M | |
| 10 | Old National Bank | 7 | 1.1% | $6.7M |
Seller note standby terms and third-party consents are reviewed before closing.
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Franchise brands in Home Health Care Services
48% of acquisition loans in this industry involved a franchised unit. Brands with the most SBA-financed resales:
| # | Brand | Loans | Share | Dollars | |
|---|---|---|---|---|---|
| 1 | Home Instead | 88 | 28.1% | $85.5M | |
| 2 | Right at Home | 39 | 12.5% | $32.8M | |
| 3 | Visiting Angels | 32 | 10.2% | $33M | |
| 4 | Senior Helpers | 31 | 9.9% | $17.4M | |
| 5 | BrightStar Care | 29 | 9.3% | $31.9M | |
| 6 | Comfort Keepers | 18 | 5.8% | $18.5M | |
| 7 | ComForCare Home Care | 13 | 4.2% | $12.6M | |
| 8 | Always Best Care Services | 11 | 3.5% | $6.7M | |
| 9 | Home Helpers Home Care | 10 | 3.2% | $10.4M | |
| 10 | Interim HealthCare | 9 | 2.9% | $14.2M | |
| 11 | SYNERGY HomeCare | 7 | 2.2% | $5M | |
| 12 | Homewatch CareGivers | 6 | 1.9% | $7.9M | |
| 13 | Amada Senior Care | 3 | 1.0% | $5.2M | |
| 14 | Touching Hearts at Home | 3 | 1.0% | $937K | |
| 15 | FirstLight HomeCare | 2 | 0.6% | $5M |
Questions buyers ask
How much is a typical SBA loan to buy a business in Home Health Care Services?
Median $700,000 across 649 acquisition loans (FY2018 to FY2026); the middle half ran $308,000 to $1,385,000. That is 8% higher than the $645,250 median for all SBA-financed acquisitions.
Which lenders finance the most Home Health Care Services acquisitions?
Live Oak Banking Company (200), Associated Bank National Association (43), CIBC Bank USA (38), Byline Bank (29), The Huntington National Bank (26).
Are businesses in Home Health Care Services often franchised?
Yes, often. 48% of SBA acquisition loans in this industry financed a franchised unit. Top brands: Home Instead, Right at Home, Visiting Angels, Senior Helpers, BrightStar Care.
How risky are SBA loans for buying a business in Home Health Care Services?
Of 277 seasoned loans (FY2018 to FY2021), 1.8% charged off, 49% lower than the 3.5% benchmark for all SBA acquisition loans.
What loan terms are common for Home Health Care Services acquisitions?
Median term 10 years, average initial rate 7.81% at approval (blended across years and fixed/variable structures). Terms longer than 10 years usually indicate real estate was included in the purchase.
How much do you need down for an SBA loan to buy a business in the Home Health Care Services industry?
The SBA requires the buyer to make an equity injection, commonly 10% of total project cost, and a lender may ask for more. The SBA file does not record injections, so the figures here are the financed portion: the median for Home Health Care Services acquisition loans was $700,000, and the middle half ran $308,000 to $1,385,000.
How long does an SBA acquisition loan take?
For a change-of-ownership 7(a) loan, 45 to 90 days from application to close is typical. It varies by lender and by how quickly third-party reports, such as the business valuation and appraisal, come back. The SBA file records approval dates, not application dates, so this site cannot measure it. Lenders approved 185 Home Health Care Services acquisition loans in FY2025 and FY2026.
Which banks make SBA loans for a business in the Home Health Care Services industry?
By loan count, FY2018 to FY2026: Live Oak Banking Company (200), Associated Bank National Association (43), CIBC Bank USA (38), Byline Bank (29), The Huntington National Bank (26). Live Oak Banking Company made 31% of Home Health Care Services acquisition loans. Counts show past approvals only and do not predict whether a lender will approve a particular deal.
The purchase agreement decides what you bought, not the loan approval.
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Related
Cite this data
SBA Acquisition Data, "Home Health Care Services: SBA acquisition loan data", https://sbaacquisitiondata.com/industry/home-health-care-services-621610 (data as of September 30, 2026). Source: U.S. Small Business Administration 7(a) loan file, data.sba.gov. Aggregated by SBA Acquisition Data.
The figures on this page are also published as JSON at https://sbaacquisitiondata.com/data/industry/home-health-care-services-621610.json.