Healthcare practice financing in Alaska

The citation column is what makes the rest of the table usable. Treat it as the starting map rather than advice, and have counsel confirm the structure before signing. Verified

Source: SBA 7(a) and 504 approval files, fiscal year 2025. Verified

Most of the Alaska paper sits in ANCHORAGE, $5.9 million of it. Elsewhere the appraisal radius widens and the review runs longer. Verified

Only categories CMS certifies in Alaska get a row here. If a cell says not yet loaded, the pillar has not been pulled yet and no estimate is substituted. Directional

Anchorage leads Alaska with 3 certified providers, ahead of ANCHORAGE at 2. Lenders read Anchorage volume as a benchmark, so a practice elsewhere in Alaska carries more of the argument alone. Verified

2,157 establishments sit across the tracked Alaska fields, led by physician and specialty offices at 456. Compare the 21 approvals and the ratio lands at 1.0 per 100, which frames how unusual a guaranteed loan is locally. Verified

1,200 establishments sit in Anchorage, more than any other Alaska county on file. A dense county gives a buyer choice and a lender comparables; a sparse one gives neither, and the timeline stretches. Verified

Alaska employs 7,510 registered nurses on a mean wage of $109,480. Staffing a new location is priced off that number, not a national one, and the difference shows up in month 6 of a ramp. Verified

HRSA designates 1,335 shortages in Alaska, led by Bethel. Designated counties come with recruitment tools, so a hiring plan written around them holds together under a lender's ramp assumptions. Verified

• Residential care and treatment: average approval $1.7 million over 5 closings worth $8.3 million. At $1.7 million against $8.3 million of state volume, that is an equipment or fit-out request more often than an acquisition.
• Dental offices: 4 approvals, $3.8 million, $955,200 average. A Alaska request near $955,200 sits inside the band 4 approvals already established.
• Veterinary practices: $1.1 million average across 3 Alaska approvals worth $3.2 million, so a request in that range reads as routine rather than exceptional.
• Pharmacies: $2.0 million across 1 approvals, averaging $2.0 million. Above $2.0 million the file needs collateral or trading history that most of those 1 Alaska borrowers did not have to show.
• Physician and specialty offices: $925,000 on average, 2 approvals, $1.9 million in total. Match $925,000 and the timeline is ordinary; ask well above it and the Alaska diligence list lengthens.
• Home health and hospice: 1 approvals, $850,000, $850,000 average. A Alaska request near $850,000 sits inside the band 1 approvals already established.
• Chiropractic offices: 2 closings, $499,000 approved, $249,500 typical. That average is the reference point a Alaska credit committee starts from on a similar file.
• Physical, occupational, and speech therapy: 1 closings, $305,500 approved, $305,500 typical. That average is the reference point a Alaska credit committee starts from on a similar file.
• Home care, non-medical: 1 Alaska approvals totaling $150,000, $150,000 each. With only 1 Alaska approvals behind $150,000, the underwriter reads documents rather than precedent.

• The Alaska record leans toward residential care and treatment, which took $8.3 million across 5 approvals. The size of that average tells an owner which document set to gather first, and how long the review is likely to run.
• Second by dollars is dental offices, $3.8 million over 4 approvals, with veterinary practices behind it. Volume in a field is what turns a projection into a comparable, and it is the reason two identical requests price differently in Alaska.
• There are 88 medical equipment suppliers certified in Alaska. A funder treats that license as proof of billable revenue, which is precisely what a start-up cannot show.
• The 504 column holds 3 Alaska approvals. An owner planning the same move in Alaska can point at closed local paper rather than a hypothetical.

• 21 SBA approvals to Alaska healthcare borrowers in FY2025¹
• $21.1 million approved, averaging $1.0 million per loan¹
• 130 CMS-certified providers across 5 categories²

• Healthcare AR line and payroll funding
• Partner buy-in, buy-out, and refinance
• Commercial real estate, owner-occupied
• Equipment financing and leasing
• Business line of credit
• Practice acquisition
• Startup and de novo

• State Medical Board (Alaska), licensure and ownership questions for physicians
• Board of Dental Examiners (Alaska), licensure and ownership questions for dentists
• Alaska has no verified state repayment scheme, state lending program, or financing disclosure regulator on file here

• All states covered
• Every financing program
• Colorado healthcare practice financing, for a side-by-side on rules and loan volume
• Georgia healthcare practice financing, the nearest comparable record to this one
• Indiana healthcare practice financing, for a side-by-side on rules and loan volume
• Non-medical home care, and the revenue mix a funder checks first
• Imaging centers, and the revenue mix a funder checks first
• ASCs and OBLs, and the revenue mix a funder checks first
• Medical device and supply distributors, and the revenue mix a funder checks first
• Occupational health and drug testing, including what collections history is asked for
• General dentistry, and the revenue mix a funder checks first

1. 1SBA 7(a) and 504 approvals, FY2025
2. 2CMS provider certification files
3. 3NPPES provider registry
4. 4County Business Patterns 2022
5. 5BLS Occupational Employment and Wage Statistics, OEWS 2025
6. 6HRSA health professional shortage area file
7. 7Alaska corporate practice rules
8. 8Alaska certificate of need
9. 9State Medical Board (Alaska)
10. 10Board of Dental Examiners (Alaska)