Healthcare practice financing in Kentucky

The source column is the point of the table: each value traces to published Kentucky material. None of this substitutes for counsel reading the Kentucky operating documents themselves. Verified

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

The largest county file in Kentucky is LOUISVILLE: 10 approvals worth $15.6 million. Away from it, expect fewer local comparables and a longer credit memo. Verified

Where a Kentucky category is absent, CMS certifies nothing under it. A cell reading not yet loaded is a dataset still to be pulled, never a guess at the number. Directional

Jefferson leads Kentucky with 27 certified providers, ahead of Fayette at 9. A partner already lending into Jefferson has comparables to work from; outside the leading counties a practice is priced on its own history. Verified

Across the tracked fields Kentucky holds 9,654 establishments, the deepest being physician and specialty offices. Set beside 9,654 establishments, 64 approvals is a thin slice of how capital actually moves here. Verified

2,380 establishments sit in Jefferson, more than any other Kentucky county on file. A dense county gives a buyer choice and a lender comparables; a sparse one gives neither, and the timeline stretches. Verified

50,300 people work as registered nurses in Kentucky, at a mean of $81,040. Wage level sets the working capital cushion a lender expects to see behind a hiring plan. Verified

Counted across primary care, mental health, dental, Kentucky holds 2,407 designations. Designation changes recruitment before it changes pricing: repayment support reaches a clinician hired there, and a stalled vacancy becomes fillable. Verified

• Dental offices: $1.1 million on average, 12 approvals, $13.1 million in total. Match $1.1 million and the timeline is ordinary; ask well above it and the Kentucky diligence list lengthens.
• Home care, non-medical: $2.5 million average across 4 Kentucky approvals worth $10.0 million, so a request in that range reads as routine rather than exceptional.
• Physician and specialty offices: 13 approvals, $6.8 million, $526,538 average. A Kentucky request near $526,538 sits inside the band 13 approvals already established.
• Pharmacies: 7 closings, $5.6 million approved, $806,429 typical. That average is the reference point a Kentucky credit committee starts from on a similar file.
• Med spa and personal care: $3.8 million across 5 approvals, averaging $755,180. Above $755,180 the file needs collateral or trading history that most of those 5 Kentucky borrowers did not have to show.
• Residential care and treatment: $2.0 million over 3 approvals in Kentucky, $666,667 each, which sets what a comparable request can be documented against.
• Other outpatient care centers: 2 closings, $1.8 million approved, $909,900 typical. That average is the reference point a Kentucky credit committee starts from on a similar file.
• Veterinary practices: 3 Kentucky approvals totaling $1.8 million, $606,333 each. With only 3 Kentucky approvals behind $1.8 million, the underwriter reads documents rather than precedent.
• Physical, occupational, and speech therapy: $1.4 million across 2 approvals, averaging $725,000. Above $725,000 the file needs collateral or trading history that most of those 2 Kentucky borrowers did not have to show.

• The Kentucky record leans toward dental offices, which took $13.1 million across 12 approvals. An average that size is an acquisition or a build, not a working-capital top-up, so the file that gets written in Kentucky most often starts with a purchase agreement or a construction budget rather than a bank statement pull.
• Home care, non-medical account for 4 approvals and $10.0 million in Kentucky, ahead of physician and specialty offices. Fields with regular volume have living comparables in the state, and that is what keeps an offer from being priced defensively.
• There are 1,014 medical equipment suppliers certified in Kentucky. Buying one of them is a different transaction from applying for a new certification, and only the first can be underwritten on existing collections.
• Of the Kentucky approvals, 1 came through the 504 debenture structure. An owner planning the same move in Kentucky can point at closed local paper rather than a hypothetical.

• 64 SBA approvals to Kentucky healthcare borrowers in FY2025¹
• $49.1 million approved, averaging $767,284 per loan¹
• 1,282 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

• Kentucky State Loan Repayment Program (KSLRP), the state loan repayment route for clinicians recruited into shortage areas
• Kentucky Board of Medical Licensure, licensure and ownership questions for physicians
• Kentucky Board of Dentistry, licensure and ownership questions for dentists

Also covered in Kentucky: Elizabethtown, Paducah, Georgetown, Versailles, Ashland, La Grange, Bowling Green, Henderson, Owensboro, Bardstown, Radcliff, Winchester, Shelbyville, Franklin, Paris, Fort Thomas, Newport, Covington, Nicholasville, Lawrenceburg, Alexandria, Shepherdsville, Independence, Mount Washington, Jeffersontown, Shively

• All states covered
• Every financing program
• Massachusetts healthcare practice financing, the nearest comparable record to this one
• Missouri healthcare practice financing, for a second reading of the same datasets
• New Hampshire healthcare practice financing, where the same fields price differently
• Dialysis and infusion centers, and the revenue mix a funder checks first
• Clinical research sites, with the payer profile behind the numbers
• Dermatology, and the revenue mix a funder checks first
• Physical, occupational, and speech therapy, and where the collateral usually comes from
• Hair restoration, read on the terms that field is underwritten on
• Ketamine, TMS, and interventional psychiatry, and where the collateral usually comes from

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. 7Kentucky corporate practice rules
8. 8Kentucky certificate of need
9. 9Kentucky State Loan Repayment Program (KSLRP)
10. 10Kentucky Board of Medical Licensure
11. 11Kentucky Board of Dentistry