At TowneBank SBA Lending, our medical practice loans are designed to help physicians with an MD designation and allied health providers pursue the transactions that make their businesses what they are, including practice acquisitions, partner buy outs, expansion, building purchases, equipment, and build-out. Whether you're acquiring a practice, buying into a partnership, expanding your footprint, purchasing real estate, or investing in equipment, SBA financing can help support the next chapter of your practice.
Medical doctors (MDs) and practice owners seeking financing for acquisitions, growth, ownership transitions, and facilities.
Physical therapy, occupational therapy, speech therapy, and ABA therapy practices.
Nurse practitioners and other allied health professionals pursuing ownership and expansion opportunities.
Have questions about SBA financing? Tell us about your project, and a member of our SBA Lending team will help you explore potential financing options and next steps.
For qualifying projects, SBA financing may cover up to approximately 90% of Total Project Cost, while also allowing eligible working capital needs to be included within the same loan structure.
- Practice acquisitions
- Partner buy outs and ownership transitions
- Business expansion and additional locations
- Medical office purchases
- Build-outs and renovations
- Equipment purchases
- Working capital needs
If you're a dentist, veterinarian, or senior care professional, explore our specialty financing resources tailored to those industries. We offer dedicated guidance designed around the unique ownership, acquisition, and growth needs of each profession.
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SBA Preferred Lender
With in-house approvals, your SBA 7(a) loan and its SBA guarantee do not wait in the SBA's underwriting queue, so decisions come faster, and your closing timeline stays on track.
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Top 50 National SBA Lender
Ranked #34 among U.S. SBA lenders, reflecting a consistent commitment to SBA financing and support for business owners nationwide, from first-time buyers and startups to established, growing companies.
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Real Volume and Real Experience
Since October 1, 2025, TowneBank SBA Lending has approved $192.8 million in SBA loans, reflecting extensive experience supporting business acquisitions, commercial real estate purchases, practice financing, and growth-focused transactions.
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SBA Lending Is Our Entire Business
More than 50 professionals work exclusively on SBA lending, bringing specialized expertise to every transaction, from the first conversation through closing and servicing, and supporting business owners across 48 states.
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TowneBank SBA Lending
Specialized SBA lending expertise backed by the resources of a $22.6 billion relationship bank with more than 70 banking offices across its footprint, giving you local support at every step.
SBA financing is often used when practice ownership opportunities arise or when a growing practice needs additional space, equipment, or working capital.
After years as an employed physician, you may have an opportunity to purchase a retiring partner's ownership interest.
While your income may support the investment, student loans and other obligations can make it difficult to provide the entire buy out amount in cash. Cash-flow-based financing evaluates the strength of the practice and its providers rather than focusing solely on liquid assets.
Growth can create the need for additional exam rooms, treatment space, new locations, or a move into an independently owned facility.
Whether you're expanding an established practice or transitioning away from a hospital or larger group setting, the right SBA loan structure can help finance real estate, buildouts, equipment, and related project costs.
A therapist or nurse practitioner with a full caseload may have the experience, client base, and revenue needed to own a practice rather than continue working in one.
Cash-flow-based business financing aligns the loan request with the strength of the business you have built, helping support the transition from provider to practice owner.
Our experienced SBA lenders understand that medical practice financing must account for the economics of a medical practice, rather than treating it like a generic business loan.
Part of our underwriting process includes a practice valuation, which is an independent assessment of a practice's worth. For medical practice financing, the practice valuation looks beyond the asking price and also considers collections, the patient panel, and equipment.
Our underwriting team examines the practice's collections history, payer mix (the balance of insurers and other payment sources), and provider productivity.
We also look at whether revenue depends heavily on one departing physician or is supported by the practice itself.
Additionally, working capital for medical practices deserves close attention. After closing, operating costs (like payroll, supplies, billing lag, and the buyer's own draw) continue before collections settle. Plus, medical billing cycles can make the lag even longer than buyers expect. So, a working capital cushion can be included inside a single commercial real estate loan or business acquisition loan.
Borrowers with strong collateral and a well-seasoned balance sheet may find conventional business loans to be a better fit, but our SBA loan structure is designed to provide accessibility and stability.
The U.S. Small Business Administration's all-available-collateral rule applies to some deals, reaching practice owners with 20% or more ownership.
The important distinction between SBA physician practice loans and conventional business financing is the structure, not the lender or the interest rates.
A step-by-step look at the financing process, key milestones, and what to expect from initial review through closing.
| Stage | Goal or Typical Range | What We Need From You |
|---|---|---|
| Pre-Screen | 2-3 days for an initial answer; not a commitment to lend | Three years of personal returns, personal financial statement, initial practice details |
| Term Sheet | Proposal follows credit review | Review and discuss the proposed structure |
| Submission | Complete file moves to underwriting | Collections and production reports, payer mix summary, letter of intent or purchase agreement |
| Underwriting | Credit decision goal: 10 business days once assigned (for SBA 7(a) loans) | Responsive follow-up; practice valuation completed |
| Closing | Typically 30 to 60 days but can vary based on the project | Closing documents, costs, final conditions |
| Servicing | Ongoing for the life of the loan | Stay connected with your Portfolio Manager |
| Pre-Screen | 2-3 days for an initial answer; not a commitment to lend |
|---|---|
| Term Sheet | Proposal follows credit review |
| Submission | Complete file moves to underwriting |
| Underwriting | Credit decision goal: 10 business days once assigned (for SBA 7(a) loans) |
| Closing | Typically 30 to 60 days but can vary based on the project |
| Servicing | Ongoing for the life of the loan |
| Pre-Screen | Three years of personal returns, personal financial statement, initial practice details |
|---|---|
| Term Sheet | Review and discuss the proposed structure |
| Submission | Collections and production reports, payer mix summary, letter of intent or purchase agreement |
| Underwriting | Responsive follow-up; practice valuation completed |
| Closing | Closing documents, costs, final conditions |
| Servicing | Stay connected with your Portfolio Manager |
Credentialing and payer enrollment can affect the real-world start date and sit outside the loan process.
SBA financing can support a variety of ownership, growth, and real estate transactions for physicians and allied health providers.
At the heart of the deal, you might be acquiring an established practice or purchasing a partner's share. Either way, financing can support the transfer while allowing the business's established cash flow to inform the structure.
Explore business acquisition loans and partner buyout financing.
Owning the medical offices where your practice operates can turn a long-term occupancy cost into ownership of an important business asset.
Depending on the project, an SBA 7 (a) loan could provide up to 100% financing for the owner-occupied real estate.
A second location, imaging or treatment equipment, and build-out can all be part of an expansion project.
Opening a new practice is also possible, although it comes with a higher credit bar than acquiring an established practice. Learn about SBA business expansion loans and SBA construction loans.
Allied health professionals such as nurse practitioners, physical therapists, occupational therapists, speech therapists, and ABA therapists can finance buying, opening, or expanding their own practices. Financing can create opportunities for providers who are ready to build businesses of their own.
Send us the practice's collections and the details of the opportunity, and we'll quickly help you determine whether the practice's cash flow fits our SBA lending approach.
Ready to explore financing options? Complete the contact form and an SBA lending specialist will review your information and discuss potential financing structures for your practice. Get Started →
Questions About Medical Practice Loans
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How much you’ll need depends on the physician practice loan amount and deal. Plan on bringing an equity injection (the cash you contribute at closing). We finance up to about 90% of Total Project Cost, which can include the buy out, working capital, closing costs, and eligible fees. Savings, a gift, or a note from the selling physician could also help supply your contribution.
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Not on its own. We consider student debt alongside your earnings, personal credit, tax returns, bank statements, household obligations, credit score, and the cash flow of the practice you are joining or buying. Your debt is part of the broader creditworthiness picture.
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During underwriting, we order an independent practice valuation. It considers collections history, payer mix, provider productivity, equipment, and whether revenue follows the practice or a departing physician. The valuations helps establish the practice's worth.
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Yes. SBA offers a variety of flexible funding options. An SBA 7(a) loan can finance both the practice acquisition and the real estate acquisition in one long-term loan.
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Yes, for several provider types. We finance physicians with an MD designation as well as nurse practitioners, physical therapists, occupational therapists, speech therapists, and ABA practices. If you are a qualifying healthcare professional, we can review your plans and business.
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Yes. Working capital can be included in the same loan to cover payroll, rent, supplies, and other expenses while collections catch up. We consider your financial projections, billing, and collections cycle when sizing that cushion.
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You can pursue medical practice financing for a startup, but requirements are higher. Since there is no established collections history, we may rely more heavily on your business plan, financial projections, startup costs, experience, and available liquidity for credit approval.
Explore financing solutions designed for other healthcare and professional practice specialties.
Whether you're purchasing a practice, buying out a partnership, expanding into a new location, purchasing a medical office, or exploring ownership for the first time, our SBA lending team can help you evaluate your financing options.
Share basic information about the opportunity, including practice collections, ownership details, and the type of transaction you're considering. Our team will review the information and help determine whether SBA financing may be a fit.
Complete the form below and an SBA lending specialist will follow up to discuss your practice, answer questions, and outline potential next steps.
Have a practice you're considering? Send us the practice's collections and the details of the opportunity, and we'll help you understand how our SBA medical practice loans may fit this specific transaction.
Whether you're evaluating a practice acquisition, partner buy-in, commercial real estate purchase, expansion project, or startup opportunity, our SBA team can provide an initial assessment and discuss potential financing options.
Some applications may require further consideration, and additional information may be required.
Credit terms are subject to approval.
Amount of Credit is subject to SBA program.