Healthcare practice financing in Nevada

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 Nevada paper sits in LAS VEGAS, $19.2 million of it. Elsewhere the appraisal radius widens and the review runs longer. Verified

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

CLARK leads Nevada with 154 certified providers, ahead of Clark at 36. Lenders read CLARK volume as a benchmark, so a practice elsewhere in Nevada carries more of the argument alone. Verified

Counted by employer rather than clinician, Nevada has 8,302 establishments in these fields. The ratio of 1.3 per 100 says most Nevada practices funded whatever they funded outside this program. Verified

The census file puts Clark at the top of Nevada with 6,341 establishments. Density decides whether a second location is bought or built, and the two carry different collateral. Verified

OEWS puts 27,070 registered nurses in Nevada at $103,670 mean. 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

Federal shortage designations total 4,962 in Nevada, concentrated in Clark with 3,750. A vacancy in a designated county has a federal remedy attached; the same vacancy elsewhere is simply a gap in the schedule. Verified

• Physician and specialty offices: $949,814 on average, 21 approvals, $19.9 million in total. Match $949,814 and the timeline is ordinary; ask well above it and the Nevada diligence list lengthens.
• Med spa and personal care: 24 closings, $12.5 million approved, $521,575 typical. That average is the reference point a Nevada credit committee starts from on a similar file.
• Dental offices: 3 approvals, $7.3 million, $2.4 million average. A Nevada request near $2.4 million sits inside the band 3 approvals already established.
• Home health and hospice: 14 approvals, $4.4 million, $316,950 average. A Nevada request near $316,950 sits inside the band 14 approvals already established.
• Physical, occupational, and speech therapy: 9 closings, $3.6 million approved, $403,244 typical. That average is the reference point a Nevada credit committee starts from on a similar file.
• Chiropractic offices: 9 closings, $3.5 million approved, $391,178 typical. That average is the reference point a Nevada credit committee starts from on a similar file.
• Behavioral health and ABA: 4 Nevada approvals totaling $2.7 million, $664,325 each. With only 4 Nevada approvals behind $2.7 million, the underwriter reads documents rather than precedent.
• Home care, non-medical: 4 Nevada approvals totaling $2.4 million, $610,650 each. With only 4 Nevada approvals behind $2.4 million, the underwriter reads documents rather than precedent.
• Veterinary practices: $227,857 average across 7 Nevada approvals worth $1.6 million, so a request in that range reads as routine rather than exceptional.

• physician and specialty offices carry 31 percent of the Nevada healthcare loan dollars, 21 approvals averaging $949,814. An average that size is an acquisition or a build, not a working-capital top-up, so the file that gets written in Nevada most often starts with a purchase agreement or a construction budget rather than a bank statement pull.
• Med spa and personal care account for 24 approvals and $12.5 million in Nevada, ahead of dental offices. Fields with regular volume have living comparables in the state, and that is what keeps an offer from being priced defensively.
• 454 medical equipment suppliers operate under CMS certification in Nevada. A funder treats that license as proof of billable revenue, which is precisely what a start-up cannot show.
• Of the Nevada approvals, 11 came through the 504 debenture structure. 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.

• 108 SBA approvals to Nevada healthcare borrowers in FY2025¹
• $63.6 million approved, averaging $588,532 per loan¹
• 983 CMS-certified providers across 5 categories²

• Healthcare AR line and payroll funding
• Partner buy-in, buy-out, and refinance
• Commercial real estate, owner-occupied
• Expansion, relocation, and build-out
• Medical receivables factoring
• SBA 7(a) and 504
• Working capital term loan

• Nevada State Board of Medical Examiners, licensure and ownership questions for physicians
• Nevada State Board of Dental Examiners, licensure and ownership questions for dentists
• No state loan repayment program, small-business lending program, or commercial financing disclosure regulator has been verified for Nevada from an official source

• All states covered
• Every financing program
• New York healthcare practice financing, for a side-by-side on rules and loan volume
• Oregon healthcare practice financing, where the same fields price differently
• South Dakota healthcare practice financing, for a side-by-side on rules and loan volume
• Optometry and ophthalmology, and where the collateral usually comes from
• Medical weight loss and GLP-1 clinics, including what collections history is asked for
• Audiology and hearing centers, with the capital events that field actually runs
• Urgent care, and the revenue mix a funder checks first
• DME and HME suppliers, and where the collateral usually comes from
• SUD treatment and residential, read on the terms that field is underwritten on

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. 7Nevada corporate practice rules
8. 8Nevada certificate of need
9. 9Nevada State Board of Medical Examiners
10. 10Nevada State Board of Dental Examiners