Treatment tables, modalities and front-desk staff are paid today. Insurance reimbursements arrive later. Working capital closes that lag for practice owners across New York.
Apply Now →A physical therapy or chiropractic office delivers care on the day of the visit but is often paid weeks afterward. A claim goes to the payer, gets reviewed, sometimes comes back for correction, and then the payment posts. Meanwhile the therapist's pay, the front-desk salary, the lease and the billing software are due on their usual dates.
The pressure builds fastest when a practice grows. Adding a second therapist raises payroll immediately, but that clinician's visits do not turn into collected revenue until the claims cycle catches up. A practice can look busy, with a full schedule and a growing patient list, while the bank balance tightens.
Traction and decompression tables, therapeutic ultrasound and electrical stimulation units, laser devices, exercise equipment, treatment tables and rehab spaces all carry real purchase costs. Chiropractors add adjusting tables and imaging in some practices. When a unit fails, treatment slots on that unit stop earning.
Opening a second location or adding treatment rooms means construction, flooring, plumbing for sinks and accessible layouts, plus the months before the new space is busy.
Licensed clinicians are not easy to hire, and many practices pay a new hire before that hire generates much billing. Aides, front-desk and billing staff are a steady payroll line on top.
Suppose a practice wants to add a rehab gym room for an athletic-recovery program. The equipment, flooring and small renovation come to $40,000, and a part-time therapist starts two months before the program fills. That is a payroll bill and a buildout bill landing together, with reimbursement for the new patients still weeks away.
An owner could wait and save from the existing schedule, which slows the launch, or fund the project so the room is open while demand is there. The question to answer before borrowing is how many added visits per week the room needs to support the cost. Those figures are yours, not ours, and a funded decision is only a good one if the added revenue clearly covers what you owe back.
Licensed clinicians are the heart of the practice, and bringing one on is a bet that the schedule will fill. In the first weeks, the new hire's visits are lower, credentialing with payers can take time before claims are accepted, and the owner may be covering both salary and the lost time spent training. Many practices solve this by hiring only when the existing waitlist is long enough to fill a full day from the first week, which slows growth.
Working capital offers a different path: hire when the waitlist appears, and let the added visits repay the cost as claims clear. That is a judgment call only the owner can make, based on payer mix and how reliably the practice collects.
Because your statements show insurance deposits arriving in batches, that irregular pattern is expected for a practice and is not something to hide.
Care is delivered and payroll is paid before the claim cycle completes. Working capital covers payroll, rent and supplies while payer payments are still on their way.
Yes. Sole proprietors can apply. We review about three months of business bank statements and do not require tax returns.
Typical uses include treatment equipment, a rehab room, a second location, hiring ahead of billing, and marketing for a new service line. Funding runs from $25,000 to $5,000,000.
No hard inquiry is added. The application uses a soft credit pull, and FICO 500 and above is considered.
Estimate the extra visits per week the equipment will support, multiply by what each visit collects, and compare it with what you would owe back. If it only pays for itself in a best case, wait.
Three months of business bank statements and a 5-minute application. FICO 500+ considered. $25,000 to $5,000,000, funded in as little as 24 hours.
Apply Now →It takes about two minutes and it will not affect your credit score.
No obligation • No impact to your credit score
