State

Healthcare practice financing in Michigan

What Michigan lenders approved, where certified providers sit, and the compliance picture behind any offer here

Direct answer

The FY2025 file holds 240 SBA-backed approvals for Michigan healthcare borrowers, $119.8 million in all. A Michigan inquiry is passed to our funding partners, and pricing, terms, and disclosures are theirs to state. Everything below comes from published FY2025 files: approvals by field, certification counts, and the Michigan rules themselves.

As of FY2025

Michigan healthcare borrowers hold 240 SBA 7(a) and 504 approvals worth $119.8 million, $499,264 on average, led by dental offices. Against 21,437 tracked Michigan establishments that is 1.1 per 100, with 2,482 CMS-certified providers and 6,911 HRSA shortage designations on file.

The Michigan rulebook a funder reads first

A Michigan structure is tested against these rows first, and the loan record further down is read afterwards.

Michigan compliance picture, with the source behind each row
Topic	What applies	Source
How an inquiry is handled	Referral. 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 availability	No product class is excluded in Michigan by our own rules. A funding partner still applies its own criteria.	Disclosures
Corporate practice of medicine	Applies in part. Michigan Compiled Laws Section 450.1281 of the Business Corporation Act requires a corporation providing services in a learned profession such as medicine to incorporate as a professional corporation, and Michigan Compiled Laws Section 333.17001 of the Public Health Code governs the practice of medicine.	State statute
Management services organizations	Conditional. Michigan permits management services organizations to provide administrative services to professional corporations formed under the Business Corporation Act.	Michigan Board of Medicine (LARA)
Medical director requirement	Not verified from an official Michigan source. The state board and healthcare counsel are the places to settle this.	None
Certificate of need	Michigan operates a certificate of need program under Part 222 of the Public Health Code, 1978 PA 368, administered by the Department of Health and Human Services, covering specified health facilities, services, and equipment.	State program
Commercial financing disclosure law	No commercial financing disclosure law verified for Michigan. A funding partner still states its own terms in writing at the offer stage.	None

Sources sit in the third column. Nothing here is legal advice; healthcare counsel in Michigan decides how it lands on a specific structure. Verified

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

Approvals to Michigan healthcare borrowers, grouped by the NAICS codes each field reports under.

Michigan healthcare SBA approvals, FY2025
Field	Loans	Total approved	Average	7(a) / 504
Dental offices	26	$25.2 million	$968,538	24 / 2
Physician and specialty offices	38	$20.5 million	$539,855	35 / 3
Residential care and treatment	20	$13.6 million	$679,700	18 / 2
Home health and hospice	26	$13.5 million	$520,258	24 / 2
Med spa and personal care	15	$8.4 million	$560,273	15 / 0
Medical staffing	7	$7.8 million	$1.1 million	7 / 0
Pharmacies	15	$7.7 million	$515,033	15 / 0
Behavioral health and ABA	25	$6.5 million	$258,208	20 / 5
Chiropractic offices	29	$5.6 million	$194,434	25 / 4
Veterinary practices	12	$4.6 million	$382,258	11 / 1
Physical, occupational, and speech therapy	13	$3.4 million	$262,154	12 / 1
Other outpatient care centers	3	$906,200	$302,067	3 / 0
Home care, non-medical	1	$900,000	$900,000	1 / 0
Optometry offices	6	$599,500	$99,917	6 / 0
Laboratories and imaging	1	$375,000	$375,000	1 / 0
Medical equipment suppliers	2	$147,000	$73,500	2 / 0
Dialysis facilities	1	$60,000	$60,000	1 / 0

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

The city map of Michigan healthcare lending

Michigan healthcare SBA approvals by borrower city
City	Loans	Approved	Average
WEST BLOOMFIELD	4	$5.4 million	$1.4 million
HUDSONVILLE	1	$5.0 million	$5.0 million
SALINE	1	$4.7 million	$4.7 million
Royal Oak	3	$4.3 million	$1.4 million
TROY	5	$3.9 million	$773,000
HASLETT	1	$3.6 million	$3.6 million
FENTON	4	$3.4 million	$841,500
AUBURN HILLS	1	$3.2 million	$3.2 million
LAKE ORION	3	$3.0 million	$1.0 million
Brohman	1	$3.0 million	$3.0 million
BAY CITY	3	$3.0 million	$994,000
Montrose	1	$2.8 million	$2.8 million
FLINT	5	$2.6 million	$512,300
Troy	1	$2.5 million	$2.5 million
LANSING	3	$2.4 million	$815,667
Detroit	1	$2.3 million	$2.3 million
GROSSE POINTE	5	$2.2 million	$448,800
GRAND RAPIDS	7	$2.0 million	$288,071
WARREN	4	$2.0 million	$489,750
STERLING HEIGHTS	5	$1.9 million	$382,500
NOVI	4	$1.9 million	$462,500
CLARE	1	$1.8 million	$1.8 million
LIVONIA	4	$1.7 million	$429,250
SANDUSKY	2	$1.7 million	$837,500
Lansing	2	$1.6 million	$780,500
BIRMINGHAM	2	$1.5 million	$757,500
OKEMOS	2	$1.5 million	$743,500
ANN ARBOR	2	$1.4 million	$707,500
LAKE CITY	3	$1.4 million	$466,667
BROHMAN	3	$1.4 million	$450,000
BLOOMINGDALE	2	$1.2 million	$600,000
TRENTON	1	$1.1 million	$1.1 million
CLINTON TOWNSHIP	5	$1.1 million	$220,400
DEARBORN	6	$1.0 million	$174,750
DECATUR	1	$1.0 million	$1.0 million
St Clair Shores	2	$1.0 million	$500,000
New Buffalo	2	$968,000	$484,000
PLYMOUTH	2	$951,900	$475,950
SOUTHFIELD	3	$913,000	$304,333
Southgate	1	$908,000	$908,000
ROCHESTER HILLS	1	$900,000	$900,000
Owosso	1	$870,000	$870,000
ROSEVILLE	4	$857,600	$214,400
Bay City	1	$822,000	$822,000
PORTAGE	1	$820,000	$820,000

Most of the Michigan paper sits in WEST BLOOMFIELD, $5.4 million of it. Elsewhere the appraisal radius widens and the review runs longer. Verified

Certified and enumerated providers in Michigan

Michigan provider counts by dataset
Category	Count	Dataset
Medical equipment suppliers	1,606	CMS certification, 2026-09-06
Home health agencies	371	CMS certification, 2026-09-06
Dialysis facilities	219	CMS certification, 2026-09-06
Hospice providers	173	CMS certification, 2026-09-06
Ambulatory surgical centers	113	CMS certification, 2026-09-06
Enumerated clinicians	8,547	NPPES registry, NPPES 2026-09

No row means no certification of that kind in Michigan. A not yet loaded cell names the dataset and stops there rather than estimating. Verified

The county split of the Michigan certified base

Top counties in Michigan by CMS-certified providers
County	Certified providers
OAKLAND	49
Wayne	47
Oakland	32
WAYNE	17
Genesee	16
Macomb	15
GENESEE	15
SAGINAW	13
KENT	11
Kent	9
Washtenaw	8
Kalamazoo	8
Saginaw	7
MACOMB	7
Ingham	5
KALAMAZOO	5
Calhoun	4
Muskegon	4
INGHAM	4
JACKSON	4
Monroe	3
Ottawa	3
Jackson	3
Berrien	3
LIVINGSTON	3
Saint Clair	2
Shiawassee	2
Bay	2
Midland	2
Livingston	2
Saint Joseph	2
Eaton	2
Lapeer	2
Isabella	2
SHIAWASSEE	2
GRAND TRAVERSE	2
WASHTENAW	2
OTTAWA	2
OTSEGO	2
MARQUETTE	2
MECOSTA	2
SCHOOLCRAFT	2
DELTA	2
OGEMAW	2
MONROE	2

OAKLAND leads Michigan with 49 certified providers, ahead of Wayne at 47. Certified density is a proxy for payer depth, and payer depth is what a receivables line is sized against. Verified

The size of the Michigan practice base

Michigan establishments by healthcare field, County Business Patterns 2022
Field	Establishments
Physician and specialty offices	5,630
Dental offices	3,198
Residential care and treatment	2,401
Physical, occupational, and speech therapy	1,396
Behavioral health and ABA	1,227
Home health and hospice	1,213
Medical staffing	1,182
Chiropractic offices	1,176
Veterinary practices	967
Home care, non-medical	801
Other outpatient care centers	650
Med spa and personal care	624
Optometry offices	513
Laboratories and imaging	294
Dialysis facilities	138
Medical equipment suppliers	27

Across the tracked fields Michigan holds 21,437 establishments, the deepest being physician and specialty offices. Set beside 21,437 establishments, 240 approvals is a thin slice of how capital actually moves here. Verified

The Michigan counties that hold the practices

Michigan establishments by county, County Business Patterns 2022
County	Establishments
Oakland	5,301
Macomb	2,586
Kent	1,748
Genesee	1,275
Washtenaw	910
Ingham	721
Kalamazoo	651
Saginaw	536
Ottawa	530
Livingston	419
St. Clair	393
Berrien	365
Jackson	344
Muskegon	337
Grand Traverse	335
Midland	320
Bay	292
Wayne	284
Calhoun	276
Monroe	238
Eaton	205
Lapeer	189
Lenawee	184
Isabella	172
Marquette	172
Allegan	166
Emmet	154
Shiawassee	118
Clinton	110
Montcalm	91
St. Joseph	91
Tuscola	85
Van Buren	84
Mecosta	82
Sanilac	82
Ionia	81
Huron	78
Otsego	78
Branch	75
Alpena	70
Delta	70
Gratiot	68
Barry	66
Hillsdale	65
Dickinson	63

5,301 establishments sit in Oakland, more than any other Michigan county on file. A dense county gives a buyer choice and a lender comparables; a sparse one gives neither, and the timeline stretches. Verified

What clinical labor costs in Michigan

Michigan employment and mean wage by occupation, OEWS 2025
Occupation	Employed	Mean annual wage
Registered nurses	104,950	$94,300
Nursing assistants	43,290	$39,570
Dental assistants	11,990	$48,820
Licensed practical and vocational nurses	10,880	$65,460
Dental hygienists	8,640	$83,790
Physical therapists	8,630	$100,900
Dentists, general	3,620	$169,930
Veterinary technologists and technicians	2,550	$49,710
Veterinarians	2,030	$125,390

OEWS puts 104,950 registered nurses in Michigan at $94,300 mean. Hiring plans attached to a request get checked against figures like these, and a ramp built on below-market pay is where a projection usually breaks. Verified

Michigan shortage areas and what they change

HRSA shortage designations in Michigan, 2026-09-06
County	Designations	Highest HPSA score
Wayne	3,706	25
Kent	410	23
Genesee	211	24
Oakland	157	25
Van Buren	111	26
Newaygo	103	16
Antrim	93	21
Clare	87	20
Ingham	80	23
Saginaw	80	26
Chippewa	79	21
Allegan	77	20
Tuscola	71	17
Washtenaw	67	22
Muskegon	66	23
St. Joseph	64	25
Charlevoix	64	17
Dickinson	62	20
Montcalm	57	19
Sanilac	57	16
Cass	55	21
Ionia	54	21
Oceana	53	19
Iosco	53	22
Berrien	53	19
Calhoun	52	21
Ogemaw	52	18
Lenawee	52	16
Arenac	51	19
Gratiot	50	20
Kalamazoo	50	25
Huron	50	18
Osceola	47	19
Mackinac	46	20
Mecosta	46	19
Marquette	45	20
Manistee	44	21
Jackson	43	19
Isabella	41	22
Roscommon	40	21
Branch	40	21
Emmet	38	22
Wexford	36	17
Cheboygan	35	19
Menominee	34	20

HRSA designates 6,911 shortages in Michigan, led by Wayne. For an owner, that is a staffing lever attached to a location decision rather than a discount on capital. Verified

What the Michigan field averages tell a borrower

Dental offices: average approval $968,538 over 26 closings worth $25.2 million. At $968,538 against $25.2 million of state volume, that is an equipment or fit-out request more often than an acquisition.
Physician and specialty offices: average approval $539,855 over 38 closings worth $20.5 million. At $539,855 against $20.5 million of state volume, that is an equipment or fit-out request more often than an acquisition.
Residential care and treatment: 20 approvals, $13.6 million, $679,700 average. A Michigan request near $679,700 sits inside the band 20 approvals already established.
Home health and hospice: $13.5 million over 26 approvals in Michigan, $520,258 each, which sets what a comparable request can be documented against.
Med spa and personal care: 15 Michigan approvals totaling $8.4 million, $560,273 each. With only 15 Michigan approvals behind $8.4 million, the underwriter reads documents rather than precedent.
Medical staffing: 7 approvals, $7.8 million, $1.1 million average. A Michigan request near $1.1 million sits inside the band 7 approvals already established.
Pharmacies: $515,033 average across 15 Michigan approvals worth $7.7 million, so a request in that range reads as routine rather than exceptional.
Behavioral health and ABA: $6.5 million across 25 approvals, averaging $258,208. Above $258,208 the file needs collateral or trading history that most of those 25 Michigan borrowers did not have to show.
Chiropractic offices: 29 Michigan approvals totaling $5.6 million, $194,434 each. With only 29 Michigan approvals behind $5.6 million, the underwriter reads documents rather than precedent.

Reading the Michigan record

26 of the Michigan approvals went to dental offices, 21 percent of the state's healthcare dollars at $968,538 each. Anything meaningfully larger than that average is underwritten as an outlier in Michigan, with the diligence that implies.
Second by dollars is physician and specialty offices, $20.5 million over 38 approvals, with residential care and treatment 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 Michigan.
1,606 medical equipment suppliers operate under CMS certification in Michigan. Certified capacity is the difference between buying revenue and building it, and lenders price those two paths differently.
The 504 column holds 20 Michigan approvals. That is the owner-occupied real estate route, so the count marks practices that bought rather than leased, and it sets expectations on appraisal and timeline for anyone following them.

240 SBA approvals to Michigan healthcare borrowers in FY2025¹
$119.8 million approved, averaging $499,264 per loan¹
2,482 CMS-certified providers across 5 categories²

Programs referred in Michigan

Nothing is excluded in Michigan, so the choice is driven by the capital event rather than by the state.

Official Michigan programs and regulators

Michigan State Loan Repayment Program (MSLRP), the state loan repayment route for clinicians recruited into shortage areas
Michigan Board of Medicine (LARA), licensure and ownership questions for physicians
Michigan Board of Dentistry (LARA), licensure and ownership questions for dentists

Micro-markets in Michigan

Each market below has its own page holding county lending, certified providers, and travel distance.

Wave-1 Michigan micro-markets, population and enumerated providers
Town	Population	Providers on file
Auburn Hills	26,047	199
Port Huron	28,342	408
Alpena	10,116	259
New Baltimore	12,132	56
Escanaba	12,296	181
Marquette	21,845	521
Taylor	61,544	519
Royal Oak	58,251	1,246
Wayne	17,129	218
Holland	35,023	767
Rochester	12,978	321
Ionia	12,265	133

Also covered in Michigan: Flint, Adrian, Westland, Cadillac, Trenton, East Lansing, Rochester Hills, Owosso, Mount Clemens, Wyandotte, Ypsilanti, Mount Pleasant, Southgate, Ferndale, Jackson, Madison Heights, Oak Park, Woodhaven, Kalamazoo, Riverview, Midland, Roseville, Muskegon, Saginaw, Battle Creek, Wixom, Sturgis, Coldwater

Where to read next

All states covered
Every financing program
Montana healthcare practice financing, the nearest comparable record to this one
New Jersey healthcare practice financing, the nearest comparable record to this one
Ohio healthcare practice financing, for a second reading of the same datasets
Veterinary, and where the collateral usually comes from
IV hydration and infusion, with the payer profile behind the numbers
Podiatry, with the payer profile behind the numbers
Home health, including what collections history is asked for
Clinical and toxicology labs, with the payer profile behind the numbers
IDD services, with the payer profile behind the numbers

Questions Michigan owners ask

What does the SBA file show for Michigan healthcare borrowers?

The published 7(a) and 504 file records 240 approvals to Michigan healthcare borrowers worth $119.8 million in FY2025, an average of $499,264. Dental offices took the largest share at 26 approvals. Only approvals appear in that file; applications that failed never reach it.

How is a Michigan inquiry handled once it arrives?

The Michigan inquiry runs through the state rules first, then matching on product class and practice type, then out to our funding partners. Rates, terms, and disclosures come from those partners. A funded account pays a referral fee from the partner side only.

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

Michigan operates a certificate of need program under Part 222 of the Public Health Code, 1978 PA 368, administered by the Department of Health and Human Services, covering specified health facilities, services, and equipment. A certificate of need moves the order of operations rather than the money: the approval is usually in hand before a lender closes on the build, so a Michigan project is financed in two steps.

How does the corporate practice doctrine work in Michigan?

Michigan Compiled Laws Section 450.1281 of the Business Corporation Act requires a corporation providing services in a learned profession such as medicine to incorporate as a professional corporation, and Michigan Compil. Michigan permits management services organizations to provide administrative services to professional corporations formed under the Business Corporation Act. Documents for both entities are read side by side, so the Michigan professional entity papers and the management agreement should be ready together. Only healthcare counsel in Michigan can confirm a structure works.

How large is the certified provider base in Michigan?

CMS certification files list 2,482 certified providers in Michigan across 5 tracked categories, led by medical equipment suppliers at 1,606, vintage 2026-09-06. Because certification gates billing, the number tracks the Michigan operators a funder can underwrite on existing collections.

Sources

Describe the Michigan file

Set out the Michigan practice and what it is buying, and the file reaches partners who fund that event

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