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Healthcare practice financing in Indiana

The loan record by field, the certified provider counts, the ownership rules, and how a Indiana inquiry is handled

Direct answer

Across FY2025, 113 SBA approvals moved $54.0 million into Indiana healthcare practices. Referral in Indiana means our funding partners see the request; every number a practice hears is written by a partner. Below are 15 loan rows by field, the certified counts, and the ownership rules a funder reads first in Indiana.

As of FY2025

Indiana healthcare borrowers hold 113 SBA 7(a) and 504 approvals worth $54.0 million, $477,920 on average, led by dental offices. Against 14,716 tracked Indiana establishments that is 0.8 per 100, with 1,869 CMS-certified providers and 1,882 HRSA shortage designations on file.

Structure, licensure, and disclosure rules in Indiana

The compliance columns below are the Indiana record a funder and a lawyer both work from.
Indiana 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 Indiana by our own rules. A funding partner still applies its own criteria.Disclosures
Corporate practice of medicineApplies in part. Indiana Code Title 25, Article 22.5 governs physician licensure and Indiana Code Title 23, Article 1.5 governs professional corporations.State statute
Management services organizationsConditional. Indiana permits management services organizations to provide administrative services to professional corporations formed under Title 23, Article 1.5.Indiana Medical Licensing Board (PLA)
Medical director requirementNot verified from an official Indiana source. The state board and healthcare counsel are the places to settle this.None
Certificate of needIndiana operates a certificate of need program limited to comprehensive care health facilities, that is, nursing homes, under IC 16-29-7.State program
Commercial financing disclosure lawNo commercial financing disclosure law verified for Indiana. A funding partner still states its own terms in writing at the offer stage.None

Nothing above is summarized without the Indiana citation beside it. It is not legal advice, and counsel decides how it applies to a given entity. Verified

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

The SBA-backed lending record for Indiana, sorted by field so a practice can find its own comparable.
Indiana healthcare SBA approvals, FY2025
FieldLoansTotal approvedAverage7(a) / 504
Dental offices18$15.4 million$855,11117 / 1
Physician and specialty offices14$6.8 million$483,31412 / 2
Pharmacies4$5.0 million$1.3 million4 / 0
Medical staffing5$3.7 million$731,7204 / 1
Veterinary practices5$3.5 million$691,8004 / 1
Home health and hospice22$2.9 million$131,42320 / 2
Residential care and treatment3$2.7 million$885,8003 / 0
Physical, occupational, and speech therapy8$2.6 million$327,2505 / 3
Optometry offices1$2.6 million$2.6 million1 / 0
Home care, non-medical7$2.4 million$348,9576 / 1
Chiropractic offices6$2.2 million$373,9836 / 0
Behavioral health and ABA7$1.8 million$256,6146 / 1
Med spa and personal care9$1.5 million$170,3118 / 1
Medical equipment suppliers3$800,000$266,6673 / 0
Other outpatient care centers1$150,000$150,0001 / 0

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

City by city, the Indiana approval record

Indiana healthcare SBA approvals by borrower city
CityLoansApprovedAverage
FORT WAYNE7$5.4 million$771,714
Indianapolis4$4.3 million$1.1 million
INDIANAPOLIS17$4.0 million$236,376
BARGERSVILLE2$3.2 million$1.6 million
NEWBURGH2$2.9 million$1.4 million
Fort Wayne2$2.7 million$1.3 million
ELKHART2$2.6 million$1.3 million
FORTVILLE2$2.6 million$1.3 million
MIDDLETOWN2$2.4 million$1.2 million
GEORGETOWN2$2.4 million$1.2 million
BEDFORD1$2.1 million$2.1 million
Columbus2$1.7 million$856,000
MISHAWAKA3$1.6 million$517,800
NOBLESVILLE1$1.3 million$1.3 million
CARMEL7$1.1 million$163,129
GREENWOOD1$1.0 million$1.0 million
RICHMOND1$972,000$972,000
DANVILLE1$750,000$750,000
Michigan City1$740,900$740,900
New Albany1$708,000$708,000
Bloomington2$675,000$337,500
Schererville1$639,000$639,000
Angola1$617,000$617,000
LAFAYETTE3$521,500$173,833
BLOOMINGTON1$500,000$500,000
SAINT JOHN1$499,700$499,700
Washington1$472,500$472,500
Fishers3$450,000$150,000
FISHERS6$440,700$73,450
AVON7$429,000$61,286
TERRE HAUTE1$350,000$350,000
Muncie1$309,000$309,000
Auburn1$301,300$301,300
CRAWFORDSVILLE1$300,000$300,000
Newburgh1$293,100$293,100
CHESTERTON1$254,400$254,400
Granger1$250,000$250,000
Valparaiso1$226,000$226,000
MONTICELLO1$225,000$225,000
GRANGER1$207,700$207,700
South Bend1$200,000$200,000
Mishawaka1$183,000$183,000
NEEDHAM1$150,000$150,000
RISING SUN1$150,000$150,000
SCHERERVILLE1$150,000$150,000

The largest county file in Indiana is FORT WAYNE: 7 approvals worth $5.4 million. Away from it, expect fewer local comparables and a longer credit memo. Verified

Certified and enumerated providers in Indiana

Indiana provider counts by dataset
CategoryCountDataset
Medical equipment suppliers1,299CMS certification, 2026-09-06
Home health agencies173CMS certification, 2026-09-06
Dialysis facilities154CMS certification, 2026-09-06
Ambulatory surgical centers141CMS certification, 2026-09-06
Hospice providers102CMS certification, 2026-09-06
Enumerated cliniciansNot yet loadedNPPES registry

A missing category is one CMS does not certify in Indiana. Not yet loaded means exactly that: the pillar has not been pulled for Indiana yet. Directional

Which Indiana counties hold the certified providers

Top counties in Indiana by CMS-certified providers
CountyCertified providers
Marion25
MARION23
Lake21
HAMILTON10
Allen9
ALLEN9
St Joseph6
Porter6
ST. JOSEPH6
Vanderburgh5
Hamilton5
LAKE5
VANDERBURGH5
Clark4
Elkhart4
LaPorte4
PORTER4
CLARK4
Howard3
Hendricks3
Johnson3
Tippecanoe3
VIGO3
HOWARD3
TIPPECANOE3
Wayne2
Madison2
DeKalb2
Shelby2
Floyd2
Monroe2
Knox2
Delaware2
Harrison2
Scott2
Vigo2
FLOYD2
ELKHART2
JOHNSON2
HENDRICKS2
Dearborn1
Grant1
Kosciusko1
Dubois1
Adams1

Marion leads Indiana with 25 certified providers, ahead of MARION at 23. The further a practice sits from Marion, the more of the credit case rests on its own billing history. Verified

Practice counts in Indiana, by field

Indiana establishments by healthcare field, County Business Patterns 2022
FieldEstablishments
Physician and specialty offices3,423
Dental offices2,188
Residential care and treatment1,941
Behavioral health and ABA996
Physical, occupational, and speech therapy897
Medical staffing798
Home health and hospice657
Veterinary practices622
Chiropractic offices612
Home care, non-medical610
Optometry offices540
Med spa and personal care481
Other outpatient care centers439
Laboratories and imaging309
Dialysis facilities170
Medical equipment suppliers33

The base to finance in Indiana is 14,716 establishments, with physician and specialty offices the largest block at 3,423. Compare the 113 approvals and the ratio lands at 0.8 per 100, which frames how unusual a guaranteed loan is locally. Verified

County concentration across Indiana

Indiana establishments by county, County Business Patterns 2022
CountyEstablishments
Marion2,608
Hamilton1,217
Lake1,195
Allen1,036
St. Joseph661
Vanderburgh648
Tippecanoe417
Johnson390
Porter373
Hendricks365
Elkhart361
Monroe352
Vigo328
Delaware292
Madison275
Clark262
Floyd230
Howard224
La Porte214
Bartholomew208
Warrick163
Boone150
Kosciusko145
Grant141
Hancock122
Dubois118
Lawrence100
Dearborn97
Morgan91
Knox76
Jackson75
Shelby74
De Kalb73
Montgomery70
Steuben69
Jennings68
Marshall67
Henry66
Jefferson65
Noble62
Gibson61
Harrison60
Wabash60
Putnam58
Cass51

The heaviest county in Indiana is Marion at 2,608 establishments. Establishment counts set how long an acquisition search runs before a letter of intent is signed at all. Verified

What a Indiana payroll line is built on

Indiana employment and mean wage by occupation, OEWS 2025
OccupationEmployedMean annual wage
Registered nurses68,980$83,500
Nursing assistants33,640$38,330
Licensed practical and vocational nurses14,480$65,720
Dental assistants6,690$48,670
Physical therapists6,130$101,560
Dental hygienists5,020$92,330
Dentists, general2,300$166,650
Veterinary technologists and technicians1,820$48,720
Veterinarians1,500$124,530

The deepest Indiana occupation on this table is registered nurses: 68,980 employed, $83,500 mean. Recruitment cost is the quiet constraint on expansion capital, and this is the figure to build the Indiana payroll line from. Verified

The federal shortage map inside Indiana

HRSA shortage designations in Indiana, 2026-09-06
CountyDesignationsHighest HPSA score
Marion40826
Lake37425
Allen25225
Elkhart5825
St. Joseph5619
Porter4925
Madison4221
Gibson3725
Vanderburgh3625
Delaware3323
Henry3021
Washington3018
Howard2717
Crawford2519
Sullivan2521
Clay2218
Randolph2118
Orange1921
Adams1918
Knox1923
Greene1820
Vigo1825
Wabash1620
Huntington1617
La Porte1621
Wayne1525
Vermillion1521
Parke1518
Tippecanoe1525
Newton1422
Pike1417
Starke1423
White1417
Jennings1417
Ripley1313
Miami1322
Steuben1315
Switzerland1319
Montgomery1316
Floyd1315
Johnson1223
Monroe1225
Fayette1219
Scott1118
Decatur1117

1,882 designations are on file for Indiana, covering primary care, mental health, dental. For an owner, that is a staffing lever attached to a location decision rather than a discount on capital. Verified

Reading each Indiana field on its own terms

  • Dental offices: $15.4 million across 18 approvals, averaging $855,111. Above $855,111 the file needs collateral or trading history that most of those 18 Indiana borrowers did not have to show.
  • Physician and specialty offices: $483,314 average across 14 Indiana approvals worth $6.8 million, so a request in that range reads as routine rather than exceptional.
  • Pharmacies: 4 approvals, $5.0 million, $1.3 million average. A Indiana request near $1.3 million sits inside the band 4 approvals already established.
  • Medical staffing: 5 Indiana approvals totaling $3.7 million, $731,720 each. With only 5 Indiana approvals behind $3.7 million, the underwriter reads documents rather than precedent.
  • Veterinary practices: $3.5 million over 5 approvals in Indiana, $691,800 each, which sets what a comparable request can be documented against.
  • Home health and hospice: $131,423 average across 22 Indiana approvals worth $2.9 million, so a request in that range reads as routine rather than exceptional.
  • Residential care and treatment: $2.7 million across 3 approvals, averaging $885,800. Above $885,800 the file needs collateral or trading history that most of those 3 Indiana borrowers did not have to show.
  • Physical, occupational, and speech therapy: average approval $327,250 over 8 closings worth $2.6 million. At $327,250 against $2.6 million of state volume, that is an equipment or fit-out request more often than an acquisition.
  • Optometry offices: $2.6 million over 1 approvals in Indiana, $2.6 million each, which sets what a comparable request can be documented against.

What Indiana practices are actually funding

  • Most of the money approved in Indiana went to dental offices, 29 percent of it, at $855,111 per approval. That average is the yardstick a Indiana file is measured against before a single term is discussed.
  • After the leaders, physician and specialty offices account for 14 approvals worth $6.8 million and pharmacies for 4. Thin fields are not unfundable in Indiana, but they take a longer memo and more history.
  • Indiana shows 1,299 medical equipment suppliers in the certification files. The size of that base tells an owner whether the next site is an acquisition target or an application timeline.
  • Indiana records 13 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.
  • 113 SBA approvals to Indiana healthcare borrowers in FY20251
  • $54.0 million approved, averaging $477,920 per loan1
  • 1,869 CMS-certified providers across 5 categories2

Programs referred in Indiana

Official Indiana programs and regulators

Micro-markets in Indiana

Town pages carry the county-level loan record and the provider mix for a single market.
Wave-1 Indiana micro-markets, population and enumerated providers
TownPopulationProviders on file
Crown Point35,097531
Merrillville36,989826
Richmond35,561387
Franklin26,158260
Vincennes16,506290
Gary67,555252
Valparaiso35,065564
New Albany37,652555
Washington12,881117
Noblesville75,239521
Marion28,216370
Mishawaka51,020588

Also covered in Indiana: Crawfordsville, Goshen, West Lafayette, Hobart, Jeffersonville, Huntington, Plymouth, Plainfield, Clarksville, Westfield, East Chicago, Lafayette, Bloomington, Muncie, Danville, Dyer, Jasper, Madison, Schererville, Elkhart, Greenfield, Munster, Warsaw, Avon, Terre Haute, Greensburg, New Castle, Highland

Where to read next

Questions Indiana owners ask

01

What happens to an inquiry raised from Indiana?

In Indiana 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 Indiana healthcare practices actually get?

The published 7(a) and 504 file records 113 approvals to Indiana healthcare borrowers worth $54.0 million in FY2025, an average of $477,920. Dental offices took the largest share at 18 approvals. Because the dataset records approvals, it is a floor on demand rather than a measure of it.

03

How does the corporate practice doctrine work in Indiana?

Indiana Code Title 25, Article 22.5 governs physician licensure and Indiana Code Title 23, Article 1.5 governs professional corporations. Indiana permits management services organizations to provide administrative services to professional corporations formed under Title 23, Article 1.5. The clinical entity and the management company are underwritten as one picture, so gather the Indiana paperwork for both. Healthcare counsel in Indiana confirms whether it stands.

04

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

Indiana operates a certificate of need program limited to comprehensive care health facilities, that is, nursing homes, under IC 16-29-7. Where the requirement bites, the Indiana timeline stretches. Lenders wait on the approval, and the interim cost of holding the site belongs in the budget.

05

How many CMS-certified providers are in Indiana?

CMS certification files list 1,869 certified providers in Indiana across 5 tracked categories, led by medical equipment suppliers at 1,299, vintage 2026-09-06. Certification gates billing, so the count is the pool of Indiana operators with revenue a lender can already see.

Sources

Describe the Indiana file

Not a credit application

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