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Healthcare practice financing in Arkansas

The published Arkansas record: who borrowed, how much, who is certified to bill, and which ownership rules apply

Direct answer

Across FY2025, 55 SBA approvals moved $29.2 million into Arkansas healthcare practices. Referral in Arkansas means our funding partners see the request; every number a practice hears is written by a partner. Read on for 55 approvals by field, who is certified to bill in Arkansas, and the ownership rules behind any offer.

As of FY2025

Arkansas healthcare borrowers hold 55 SBA 7(a) and 504 approvals worth $29.2 million, $530,571 on average, led by pharmacies. Against 6,704 tracked Arkansas establishments that is 0.8 per 100, with 913 CMS-certified providers and 1,241 HRSA shortage designations on file.

The rules that shape a file in Arkansas

Everything a Arkansas file has to satisfy on ownership and disclosure sits in this one table, sourced line by line.
Arkansas compliance picture, with the source behind each row
TopicWhat appliesSource
How an inquiry is handledReferral. The inquiry is shared with our funding partners, and each partner contacts the practice directly with its own offer and its own disclosure.Disclosures
Program availabilityNo product class is excluded in Arkansas by our own rules. A funding partner still applies its own criteria.Disclosures
Corporate practice of medicineApplies. The Arkansas Medical Corporation Act, codified at Arkansas Code Title 4, Subtitle 3, Chapter 29, Subchapter 3, restricts ownership of medical corporations to licensed physicians.State statute
Management services organizationsConditional. Arkansas Senate Bill 262 of the 2025 session proposed amendments to the corporate practice of medicine doctrine, indicating management services organization structures require careful structuring.Arkansas State Medical Board
Medical director requirementNot verified from an official Arkansas source. The state board and healthcare counsel are the places to settle this.None
Certificate of needArkansas operates a Permit of Approval program through the Health Services Permit Agency covering nursing facilities, residential care facilities, and certain other health facilities, though the broader hospital certificate of need program was repealed in 1987.State program
Commercial financing disclosure lawNo commercial financing disclosure law verified for Arkansas. A funding partner still states its own terms in writing at the offer stage.None

Each row links the Arkansas authority behind it. How a rule lands on one practice is a legal question, and it belongs with a Arkansas lawyer. Verified

SBA 7(a) and 504 activity in Arkansas by healthcare field

Every approved 7(a) and 504 loan to a Arkansas healthcare borrower, grouped by industry code.
Arkansas healthcare SBA approvals, FY2025
FieldLoansTotal approvedAverage7(a) / 504
Pharmacies5$6.1 million$1.2 million5 / 0
Behavioral health and ABA8$5.0 million$628,9388 / 0
Med spa and personal care10$4.6 million$455,01010 / 0
Physical, occupational, and speech therapy8$3.1 million$392,7507 / 1
Residential care and treatment2$2.8 million$1.4 million2 / 0
Dental offices4$1.8 million$442,4004 / 0
Chiropractic offices4$1.6 million$390,7503 / 1
Physician and specialty offices5$1.5 million$298,5405 / 0
Veterinary practices3$869,500$289,8332 / 1
Optometry offices2$815,000$407,5002 / 0
Medical equipment suppliers1$519,000$519,0001 / 0
Home health and hospice2$350,000$175,0002 / 0
Home care, non-medical1$101,000$101,0001 / 0

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

Where in Arkansas the approvals were actually written

Arkansas healthcare SBA approvals by borrower city
CityLoansApprovedAverage
Paron2$2.8 million$1.4 million
WALNUT RIDGE1$2.4 million$2.4 million
Fort Smith1$2.3 million$2.3 million
MARIANNA1$1.9 million$1.9 million
Little Rock3$1.6 million$536,700
LITTLE ROCK4$1.5 million$374,375
HOT SPRINGS3$1.4 million$459,500
Fayetteville4$1.3 million$332,500
CONWAY1$1.3 million$1.3 million
FAYETTEVILLE2$1.2 million$613,000
HOT SPRINGS NATIONAL PARK3$1.2 million$405,000
Paragould1$1.0 million$1.0 million
BENTONVILLE1$865,000$865,000
PARAGOULD1$850,000$850,000
FORT SMITH3$825,000$275,000
NORTH LITTLE ROCK1$794,600$794,600
North Little Rock1$711,000$711,000
SPRINGDALE1$583,200$583,200
Rogers1$500,000$500,000
CABOT1$444,000$444,000
ROGERS1$422,000$422,000
BENTON1$415,000$415,000
GREENBRIER1$374,000$374,000
Farmington1$370,000$370,000
SILOAM SPRINGS1$350,000$350,000
Hot Springs National Park2$325,000$162,500
Searcy1$250,000$250,000
HENSLEY1$200,000$200,000
Jonesboro1$173,000$173,000
SEARCY1$150,000$150,000
WHITE HALL1$150,000$150,000
Ozark1$126,000$126,000
Lake Village1$101,000$101,000
Morrilton1$94,000$94,000
Bryant1$50,000$50,000
LEWISVILLE1$39,500$39,500
ASHDOWN1$30,000$30,000
GREENWOOD1$30,000$30,000

Lending in Arkansas concentrates in Paron, $2.8 million over 2 approvals at $1.4 million average, with the remaining cities thinner and slower to appraise. Verified

Certified and enumerated providers in Arkansas

Arkansas provider counts by dataset
CategoryCountDataset
Medical equipment suppliers642CMS certification, 2026-09-06
Home health agencies92CMS certification, 2026-09-06
Ambulatory surgical centers68CMS certification, 2026-09-06
Dialysis facilities65CMS certification, 2026-09-06
Hospice providers46CMS certification, 2026-09-06
Enumerated cliniciansNot yet loadedNPPES registry

If a Arkansas category is missing, nothing is certified under it. An unloaded row carries no number on purpose, because a placeholder figure would travel further than it should. Directional

Certified capacity across the Arkansas counties

Top counties in Arkansas by CMS-certified providers
CountyCertified providers
Pulaski13
Washington4
Benton4
PULASKI4
MILLER4
Craighead3
Miller3
WASHINGTON3
SEBASTIAN3
GARLAND3
CRAIGHEAD3
INDEPENDENCE3
Faulkner2
Crittenden2
Jefferson2
Saint Francis2
Mississippi2
Saline2
Hempstead2
BAXTER2
ST. FRANCIS2
POLK2
POPE2
JEFFERSON2
UNION2
Sebastian1
Pope1
Phillips1
Clark1
White1
Ouachita1
Garland1
Union1
Arkansas1
Drew1
Columbia1
Jackson1
Independence1
Ashley1
Greene1
Baxter1
Hot Spring1
Bradley1
Polk1
Woodruff1

Pulaski leads Arkansas with 13 certified providers, ahead of Washington at 4. County concentration sets how much of a Arkansas file rests on the practice itself rather than on nearby closings. Verified

How many Arkansas practices there are to finance

Arkansas establishments by healthcare field, County Business Patterns 2022
FieldEstablishments
Physician and specialty offices1,890
Dental offices894
Physical, occupational, and speech therapy726
Behavioral health and ABA523
Residential care and treatment369
Home care, non-medical332
Other outpatient care centers328
Chiropractic offices312
Veterinary practices303
Medical staffing266
Home health and hospice239
Optometry offices207
Med spa and personal care156
Laboratories and imaging106
Dialysis facilities42
Medical equipment suppliers11

Counted by employer rather than clinician, Arkansas has 6,704 establishments in these fields. Against 55 approvals that is 0.8 per 100, a rough read on how often practices here reach for federally guaranteed debt. Verified

How the Arkansas practice base divides by county

Arkansas establishments by county, County Business Patterns 2022
CountyEstablishments
Pulaski1,436
Washington681
Benton633
Sebastian436
Garland359
Faulkner342
Craighead313
Saline256
Pope169
White164
Baxter151
Jefferson131
Boone103
Lonoke97
Crawford88
Independence82
Crittenden78
Union78
Mississippi65
Greene62
Cleburne55
Miller54
Clark43
Hot Spring42
St. Francis40
Ouachita39
Columbia35
Arkansas33
Carroll33
Conway33
Johnson32
Hempstead30
Yell26
Jackson24
Randolph24
Drew23
Polk23
Cross22
Clay21
Sharp19
Phillips18
Howard17
Pike17
Fulton16
Franklin15

The heaviest county in Arkansas is Pulaski at 1,436 establishments. Establishment counts set how long an acquisition search runs before a letter of intent is signed at all. Verified

The Arkansas wage base behind a payroll forecast

Arkansas employment and mean wage by occupation, OEWS 2025
OccupationEmployedMean annual wage
Registered nurses29,400$78,940
Nursing assistants17,260$34,430
Licensed practical and vocational nurses10,010$56,620
Dental assistants2,950$42,830
Physical therapists2,680$99,010
Dental hygienists1,740$86,760
Dentists, general1,210$178,930
Veterinarians540$107,710
Veterinary technologists and technicians320$38,360

The deepest Arkansas occupation on this table is registered nurses: 29,400 employed, $78,940 mean. The gap between planned pay and this mean is the first thing a credit analyst prices into a ramp. Verified

The federal shortage map inside Arkansas

HRSA shortage designations in Arkansas, 2026-09-06
CountyDesignationsHighest HPSA score
Jefferson7926
Pulaski7817
Sharp4718
Howard4121
Desha3722
Poinsett3620
White3618
Mississippi3519
Faulkner3517
Arkansas3418
Benton3216
Monroe3021
Franklin2918
Pope2819
Perry2719
Washington2625
Lincoln2621
Crawford2618
Ashley2421
Union2319
Logan2226
Ouachita2219
Chicot2121
Bradley2021
Phillips2019
Yell1919
Cleburne1918
Craighead1919
Pike1818
Fulton1818
Woodruff1725
Clark1719
Baxter1718
Izard1620
Searcy1626
Johnson1619
Dallas1618
Crittenden1624
Sebastian1518
Hot Spring1518
Lee1526
Jackson1518
Lonoke1418
Drew1426
Clay1426

Arkansas carries 1,241 designations across primary care, dental, mental health, Jefferson highest at 79. Designated counties come with recruitment tools, so a hiring plan written around them holds together under a lender's ramp assumptions. Verified

Reading each Arkansas field on its own terms

  • Pharmacies: $1.2 million on average, 5 approvals, $6.1 million in total. Match $1.2 million and the timeline is ordinary; ask well above it and the Arkansas diligence list lengthens.
  • Behavioral health and ABA: average approval $628,938 over 8 closings worth $5.0 million. At $628,938 against $5.0 million of state volume, that is an equipment or fit-out request more often than an acquisition.
  • Med spa and personal care: average approval $455,010 over 10 closings worth $4.6 million. At $455,010 against $4.6 million of state volume, that is an equipment or fit-out request more often than an acquisition.
  • Physical, occupational, and speech therapy: $3.1 million over 8 approvals in Arkansas, $392,750 each, which sets what a comparable request can be documented against.
  • Residential care and treatment: 2 closings, $2.8 million approved, $1.4 million typical. That average is the reference point a Arkansas credit committee starts from on a similar file.
  • Dental offices: 4 closings, $1.8 million approved, $442,400 typical. That average is the reference point a Arkansas credit committee starts from on a similar file.
  • Chiropractic offices: $390,750 on average, 4 approvals, $1.6 million in total. Match $390,750 and the timeline is ordinary; ask well above it and the Arkansas diligence list lengthens.
  • Physician and specialty offices: 5 Arkansas approvals totaling $1.5 million, $298,540 each. With only 5 Arkansas approvals behind $1.5 million, the underwriter reads documents rather than precedent.
  • Veterinary practices: average approval $289,833 over 3 closings worth $869,500. At $289,833 against $869,500 of state volume, that is an equipment or fit-out request more often than an acquisition.

What Arkansas practices are actually funding

  • Most of the money approved in Arkansas went to pharmacies, 21 percent of it, at $1.2 million per approval. That average is the yardstick a Arkansas file is measured against before a single term is discussed.
  • Behavioral health and ABA follow at 8 approvals and $5.0 million, then med spa and personal care at 10. Where a field shows steady volume, a lender in Arkansas already holds paper on practices like it, and the credit memo has somewhere to point.
  • CMS lists 642 medical equipment suppliers in Arkansas. Where the certified base is large, the capital event is usually a purchase; where it is small, it is usually working capital against a payer contract.
  • Arkansas records 3 approvals through 504. Real estate deals run longer than working capital deals, and the local count tells an owner whether lenders here are used to closing them.
  • 55 SBA approvals to Arkansas healthcare borrowers in FY20251
  • $29.2 million approved, averaging $530,571 per loan1
  • 913 CMS-certified providers across 5 categories2

Programs referred in Arkansas

Official Arkansas programs and regulators

Micro-markets in Arkansas

Below the state, the record breaks down by town: county approvals, provider mix, and shortage designations.
Wave-1 Arkansas micro-markets, population and enumerated providers
TownPopulationProviders on file
Russellville29,442491
Searcy23,997511
Camden10,116136
Mountain Home13,348411
Harrison13,723302
El Dorado16,657265
Pine Bluff38,785387
Batesville11,539327
Jacksonville29,129241
Sherwood33,281256
Blytheville12,359132
Siloam Springs20,075158

Also covered in Arkansas: Paragould, Fort Smith, Hot Springs, Malvern, Magnolia, West Memphis, Benton, Maumelle, Jonesboro, Bryant, Texarkana, Van Buren, Cabot, Bella Vista, Farmington, Lowell, Marion, Pea Ridge, Centerton

Where to read next

Questions Arkansas owners ask

01

What happens to an inquiry raised from Arkansas?

In Arkansas the sequence is fixed: state rules, then matching on product class and practice type, then a referral to our funding partners. Those partners quote, disclose, and close. Nothing is charged to the practice at any point in that chain.

02

How much SBA lending do Arkansas healthcare practices actually get?

The published 7(a) and 504 file records 55 approvals to Arkansas healthcare borrowers worth $29.2 million in FY2025, an average of $530,571. Pharmacies took the largest share at 5 approvals. Because the dataset records approvals, it is a floor on demand rather than a measure of it.

03

Does Arkansas restrict who may own a clinical entity?

The Arkansas Medical Corporation Act, codified at Arkansas Code Title 4, Subtitle 3, Chapter 29, Subchapter 3, restricts ownership of medical corporations to licensed physicians. Arkansas Senate Bill 262 of the 2025 session proposed amendments to the corporate practice of medicine doctrine, indicating management services organization structures require careful structuring. Documents for both entities are read side by side, so the Arkansas professional entity papers and the management agreement should be ready together. Only healthcare counsel in Arkansas can confirm a structure works.

04

Is certificate of need approval needed before financing a Arkansas build?

Arkansas operates a Permit of Approval program through the Health Services Permit Agency covering nursing facilities, residential care facilities, and certain other health facilities, though the broader hospital certificate of need program was repealed in 1987. The practical effect in Arkansas is sequencing. Site control and approval come first, construction money second, and a plan that assumes one closing usually slips.

05

How many CMS-certified providers are in Arkansas?

CMS certification files list 913 certified providers in Arkansas across 5 tracked categories, led by medical equipment suppliers at 642, vintage 2026-09-06. Each certification is permission to bill, which makes the count a rough census of revenue-carrying operators in Arkansas.

Sources

Describe the Arkansas file

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