Claims, Reimbursement, and the Gap Between
In a fee-for-service practice, the work and the money live on two different calendars. Care is delivered today; the claim gets scrubbed, submitted, adjudicated, and — eventually — paid. Commercial payers take weeks. Workers' comp can stretch far longer. And every January, patient deductibles reset and collections slow at exactly the moment holiday-season payables come due. If you run a practice that bills Medicare, you already know what the first quarter feels like.
Meanwhile, nothing on the expense side flexes. Clinical staff are paid every two weeks whether the remittances arrived or not. Malpractice premiums, rent, and equipment leases don't care about your AR aging report. Add a new provider and it gets sharper: credentialing takes months, which means you're paying a salary well before payers reimburse a single visit.
Banks are happy to talk to physicians — about practice acquisition, with committee timelines to match. Coast is built for everything else: the operating capital that keeps a healthy practice liquid between reimbursement cycles. We underwrite on your revenue and deposits, a dedicated Business Funding Advisor structures the funding, and it can land the same day you apply.*
What Medical Practices Fund with Coast
Bridge reimbursement cycles
Draw against a line of credit while Medicare and commercial claims work through adjudication, then pay it down when remittances land.
Make payroll without watching the AR report
Two payrolls due and the big remittance still pending — working capital keeps clinical staff paid on schedule.
Finance diagnostic and treatment equipment
Lasers, imaging, exam-room upgrades. With an invoice in hand, Coast's equipment team can move in days, not quarters.
Add a provider before the revenue arrives
Cover the salary and onboarding costs of a new physician or PA through the months of credentialing lag.
Renovate or expand clinical space
Fund a build-out or an additional exam room with a fixed-payment term loan you can budget against.
Absorb the first-quarter slowdown
Deductible resets and seasonal claim timing make Q1 the tightest stretch of the year for many practices. Plan for it with capital in place.
Match Your Situation to the Right Program
| Your situation | The fit | Why |
| Reimbursements lag while payroll and rent stay fixed | Business Line of Credit | Draw only in the slow weeks and pay only on what you use — built for recurring timing gaps |
| Equipment invoice in hand — laser, imaging, chairs | Equipment Financing | 2–5 year terms with the equipment as collateral and payments sized to the revenue it produces |
| Growth is outrunning collections | Working Capital | $5K–$2M to carry the practice between care delivered and claims paid |
| A defined project — build-out, new provider, EHR transition | Business Loan | A lump sum with a fixed payment schedule and a clear payoff date |
| A smaller need you'd rather handle entirely online | Swell | Coast's online revenue advance — apply in about 15 minutes and draw as needed |
Real Funding, Real Medical Practices
The January Medicare crunch
A multi-provider podiatry group in the Northeast — roughly $6.5M in annual revenue — hit the classic January/February Medicare slowdown with two payrolls and a large card payment all due within three weeks. Coast structured a $100K line of credit on a 24-month term with monthly payments. The practice was funded the same day it applied, made both payrolls without touching reserves, and kept the line for the next crunch.
The laser that couldn't wait
A physician-owned mobile lithotripsy group in Southern California needed $95K for a medical laser. Coast's equipment team closed 60-month equipment financing the same day — structured around the operating owners, without requiring financials from the group's five minority-partner physicians. For group practices, that structure alone can save weeks.
Growth outrunning collections
A healthcare services company in the Mid-Atlantic, around $500–650K in revenue, was growing fast enough that cash couldn't keep up: insurance paid in six to eight weeks, workers' comp took up to a year. Coast opened a roughly $30K working capital line on a 9-month term — funded the same day — to bridge receivables while the growth continued.
Frequently Asked Questions
Can I get medical practice financing without buying or acquiring a practice?
Yes — that's exactly what Coast is for. Most practice lenders lead with acquisition and real estate. Coast focuses on operating capital: reimbursement gaps, payroll timing, equipment, provider hires, and expansion for the practice you already own. No committee process, no acquisition requirement.
How do you underwrite a practice whose revenue sits in receivables?
We look at revenue and bank deposits, not just the balance sheet. A practice with strong collections and a predictable payer mix is a strong business even when a large share of the month's production is still in adjudication. That's why practices carrying heavy Medicare or workers' comp receivables still get funded quickly.
Do you finance medical equipment?
Yes. Coast offers equipment financing from $10K to $5M on 2–5 year terms, with specialty programs for medical equipment. The equipment serves as collateral, payments are fixed and monthly, and if you have an invoice in hand, equipment deals can close remarkably fast — we've funded a $95K medical laser the same day.
Do all partners in a group practice have to provide financials?
Not always. Structures vary with ownership, but in many group arrangements Coast can underwrite around the operating owners rather than every minority partner. An advisor reviews your ownership structure up front and tells you exactly whose documentation is needed before anyone gathers paperwork.
Will applying affect my credit?
No — there's no hard credit pull to see your options. Coast uses a soft credit review during the application, so exploring numbers, amounts, and structures costs your credit profile nothing. A hard inquiry applies only to certain traditional products — larger equipment deals and SBA loans — and then only with your consent, after an approval you have chosen to move forward with.
How fast can a practice be funded?
Many practices fund within 24 hours, and same-day funding is available when closing documents are completed by 11 AM PT on a business day.* Timing matters in a reimbursement crunch — it's why the application asks for deposit data rather than three years of committee-ready financials.
Do you work with practices that bill Medicare and Medicaid heavily?
Yes. Government-payer reimbursement timing is one of the most common reasons practices come to Coast in the first place. We don't treat a Medicare-heavy payer mix as a risk to explain away — we treat the reimbursement lag as the problem the financing is built to solve.
Can I finance a practice acquisition or buy-in?
Yes. Buying into or acquiring a practice is one of the clearest uses for an SBA loan — terms run up to 25 years, which keeps the monthly payment low while you take over the patient base. A 10% equity injection is required, and on an acquisition a seller note on full standby can cover half of that, bringing your own cash contribution to as little as 5%. Practice acquisition financing is document-intensive and slower than working capital, so start the conversation early. Your advisor can also structure working capital alongside it for the transition period.
Programs Built for Medical Practices
Funding for Related Industries
Talk to someone who knows your industry
A dedicated Business Funding Advisor can structure capital around how your business actually operates. No hard credit pull to apply.
*Closing documents must be completed by 11 AM PT Monday through Friday to receive funds the same business day. Weekend approvals will be processed the following business day.
Client examples reflect actual funded transactions with identifying details removed; individual results vary and are subject to underwriting approval.
Certain programs may be made available or arranged pursuant to California Financing Law License No. 60DBO-146720.