The Pinch Points
Why Physical Therapy Practices Come to Us for Capital
The facility wins the referral, but it’s a six-figure build, insurance pays slow, and the reimbursement rates keep tightening underneath you. Our lenders read the practice’s collections, not a treatment schedule. Sound familiar?
The Aquatic and Specialty Equipment
An aquatic therapy pool ($120K), a gait-analysis system ($55K), an anti-gravity treadmill — the specialty equipment that wins the post-surgical and sports referrals, a $200K+ build before it bills a session.
Insurance Reimbursement Lags and Tightens
PT bills insurance, waits 30–60 days, and reimbursement rates keep tightening — so a full schedule still leaves $30K–$60K in claims outstanding while payroll runs weekly.
The Volume Game
Tight reimbursement makes PT a volume business — more treatment space, more tables ($3K–$6K each), more therapists ($6K–$10K a month before a caseload fills) — capacity you build and staff before the referrals fill it.
The Cash-Pay Wellness Pivot
Cash-pay performance, recovery, and wellness programs are the margin play, but the equipment and space for them is cash out before the memberships sell — a $30K–$80K build.
The Clinic Near the Referral Source
Opening near a new orthopedic group or hospital captures their referrals — a $150K–$300K build to plant the flag before a competitor does.
Buying In or Acquiring a Practice
A partner buy-in or acquiring a retiring PT’s practice is a $150K–$400K move that won’t wait on a slow approval queue.
What an operator said
“Reimbursement rates kept dropping and the slow pay made it worse — we were profitable on paper and tight in the bank. The receivables line fixed the timing, and we used the room to build a cash-pay recovery program that doesn’t wait on a carrier at all.”
Dr. Cho · physical therapy practice · Boulder, CO
Start Here
See Your Range in 60 Seconds
No credit check, no documents to start, and an estimated funding range on the spot. No one contacts you until you’re ready to move forward.
What Happens When You Start
Estimate Your Capital Range
Slide to your annual gross revenue. We size capital off your top line — not your credit score.
Estimated Capital Range
A conservative range based on 10-15% of annual revenue — many businesses qualify for more with strong receivables or assets behind them. Lenders return real term sheets once they see your file.
60 seconds · No obligation · Estimate only
Built for the Trade
What We Fund for Physical Therapy Practices
Equipment Financing for the Rehab Facility
Equipment financing funds the aquatic pool, gait lab, and specialty gear with §179 write-off ahead of the down payment.
A Line Against Insurance Receivables
A working line advances against PT claims so a full schedule isn’t capital trapped behind tightening reimbursement.
Capital for the Cash-Pay Pivot
Working capital funds the performance and wellness equipment so the cash-pay margin line gets off the ground.
Revenue-Based Acquisition Capital
Buy in, open near a referral source, or acquire a practice on revenue-based, capital-stacked financing — on collections, not an SBA queue.
Match Your Situation
The Funding Gaps We Close for Physical Therapy Practices
Match your situation to the structure. Every one of these funds on your practice’s revenue and collections, not a perfect credit file.
| What It Looks Like | Funding Solution | Amount | Speed | |
|---|---|---|---|---|
| Banks want collateral, not a treatment schedule | Revenue and collections underwriting; the practice’s cash flow counts. | Equipment Financing | $75K–$5M+ | 3–7 days |
| Insurance pays 30–60 days and rates tighten | A line advances against the receivables you’ve earned. | Business LOC | $75K–$5M+ | 1–5 days |
| The facility build is cash out before referrals | Equipment financing and working capital fund the build. | Equipment Financing | $75K–$5M+ | 3–7 days |
The Products
How Physical Therapy Financing Is Structured
Most physical therapy files fund between $75K and $5M+, structured to the facility build, the specialty equipment, or the reimbursement gap in front of you. Larger lines available when revenue, cash flow, and story qualify.
| Amount | Term | Best For | Funding Speed | Typical Structure | |
|---|---|---|---|---|---|
| Equipment Financing | $75K–$5M+ | 2yr–7yr | Aquatic pool, gait lab, specialty gear | 3–7 days | Device serves as collateral |
| Working Capital | $75K–$5M+ | 6mo–10yr | Facility build, cash-pay pivot | 1–3 days | Often unsecured, daily/weekly ACH |
| Business LOC | $75K–$5M+ | Revolving | Insurance-receivable timing | 1–5 days | Unsecured line, no PG by default |
| Invoice Factoring | $75K–$5M+ | Per invoice | Aging PT insurance claims | 1–2 days | Receivables secure the line |
Tax Strategy
Section 179 on a Rehab Facility Build — Worked
If last year was strong and you’re about to write a check to the IRS — stop. Acquire qualifying equipment with as little as 10% down, finance the rest, and write off the full purchase price in year one. Section 179 covers it up to the annual cap; 100% bonus depreciation — made permanent in 2025, with no cap and no income limit — carries the rest.
At the top bracket, that first-year deduction can return meaningful tax savings — and for an established business with strong cash flow, it’s the difference between writing a check to the IRS and putting the same money into your own equipment. Your CPA models the exact numbers for your bracket and structure.
Worked scenario · top bracket · illustrative
You financed the machine and put down a fraction of its price — but you deduct the full price in year one. The write-off is bigger than your down payment, and the equipment keeps working the whole time.
Scales with your numbers
Illustrative only. Actual savings depend on your tax bracket, entity type, state conformity, and CPA guidance. Section 179 and bonus depreciation are elections your CPA makes for your situation; above the Section 179 cap, 100% bonus depreciation carries the balance.
Terms reflect credit, revenue, time in business, and each lender. Every file is unique — see what the desk structures for yours in the 60-second qualifier.
Bobby’s Take
“Physical therapy is a facility business squeezed by reimbursement — the aquatic pool and gait lab win the post-surgical referrals, but insurance pays slow and the rates keep tightening, so it’s a volume game on thin margins. The full rehab build runs about $510K. A small down, the rest financed, and the full $510K is a first-year write-off — more deduction than you put down, with a line against the claims carrying the reimbursement gap. The facility that wins the post-surgical referral — written off the year it opens its doors.”
Bobby Friel · Founder · 20+ years in banking and finance
How It Works
From Application to Funded
One application, 70+ lenders competing, a dedicated specialist, and most files funded in days.
60-second estimate
Enter your numbers — no credit check, no documents. You see an estimated funding range on the spot.
A specialist is assigned
A real funding specialist — not an algorithm — reviews your file, usually within 24 hours.
70+ lenders compete
Your application goes to the marketplace. Competing offers typically land 24–48 hours later.
You pick the offer
Compare structures and terms with your advisor. No obligation until you choose to sign.
Funded in days
From same-day working capital to a multi-piece stack, most files fund in days — not the bank’s 60–90.
Underwriting
What Underwriting Looks At
Funding here leads with what your business actually does — your revenue and cash flow. The specialist desk reads the real picture from your statements, then matches it to the lenders most likely to fund it.
How you’re evaluated
Revenue-first
sized off your top line, not just your balance sheet.
Cash-flow driven
your bank statements show how the business really runs.
Bank-statement underwriting
even a down year is read off 4 months of statements.
Story-driven
a big new contract, a seasonal swing, a turnaround in progress: context the raw numbers miss counts too.
What to have ready
↳Had a loss year? It’s read off the bank statements — 4 months, not 6.
Start fast, finish complete
The operators who fund quickest come to the specialist review with these ready — but you don’t need all of it to start. Your signed application and bank statements are what unblock the review; the rest can follow as trailing docs. Real term sheets come once the lenders can see a true business overview, so the move is simple: get the application and statements in right away, and don’t let a missing tax return hold up your term sheets.
Credit, straight
Qualification
Who Gets Funded — and Who’s Not Ready Yet
A straight read saves everyone time — here’s the line between a physical therapy file that funds and one that isn’t ready yet.
↳Time in business is a factor, not a gate — newer crews with strong revenue still qualify.
Not ready yet isn’t a no — it’s a checklist. Most of it is fixable in a quarter or two, and your advisor will tell you straight which gaps to fix before a file goes in.
The Operator's Guide
Physical Therapy & Rehab Facility Financing
A Facility Business Squeezed by Reimbursement
A serious physical therapy practice is a facility — an aquatic pool, a gait lab, the open floor — the setup that wins the post-surgical and sports-medicine referrals and lets you bill the higher-value rehab. But insurance pays 30–60 days out, the rates keep tightening, and that makes PT a volume game on thin margins. We fund the facility build on what the practice collects, and a working line advances against the claims so a full schedule isn’t capital trapped behind reimbursement.
One Application, 70+ Lenders
Whether it’s equipment financing for the aquatic pool and gait lab, a line against your tightening insurance receivables, or revenue-based capital to open near a referral source or acquire a practice, we connect you with 70+ lenders who fund medical practices every week. Working capital, lines of credit, equipment financing, and receivables advances — $75K to $5M+, on your revenue, with §179 writing off qualifying equipment the year it’s placed in service. One application, soft-pull review to start.
Common Questions
Physical Therapy Financing — Questions, Answered
Yes — approval is on collections and cash flow, not the equipment’s resale value.
Yes — a working line advances against PT receivables.
Qualifying equipment placed in service can generally be written off the year it’s treating; your CPA models the bracket.
A signed application plus four months of bank statements, a P&L, a balance sheet, and two years of returns. If recent years show losses, the specialist desk can underwrite on four months of bank statements.
Yes — a new clinic or buy-in is structured revenue-based and capital-stacked on collections, not as an SBA 7(a) loan.
Recommended Funding
The Products That Fit Physical Therapy Work
Equipment Financing →
Finance the aquatic pool, gait lab, and specialty equipment — §179 included.
Working Capital Loans →
Fund the facility build and the cash-pay performance pivot.
Business Line of Credit →
Draw against tightening insurance receivables across the reimbursement gap.
Invoice Factoring →
Advance against aging PT insurance claims instead of waiting on the carrier.
Explore by specialty