Healthcare practice financing in New York

Read the third column first. A published summary is a starting point; the entity being funded is a question for New York healthcare counsel. Verified

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

Most of the New York paper sits in NEW YORK, $15.2 million of it. Elsewhere the appraisal radius widens and the review runs longer. Verified

The table lists what is certified in New York and leaves out what is not. Not yet loaded flags a dataset still on the queue rather than an estimate standing in for a measurement. Verified

Kings leads New York with 47 certified providers, ahead of Queens at 41. A dense county gives an underwriter something to compare against; a sparse one leaves the practice's own reports to do the work. Verified

44,374 establishments sit across the tracked New York fields, led by physician and specialty offices at 12,347. At 0.9 approvals per 100 establishments, SBA-backed debt is the exception in New York rather than the norm. Verified

New York is where the New York base concentrates, 7,692 establishments deep. Where the base thins out, expansion is a build rather than a purchase, and the capital request changes shape with it. Verified

The deepest New York occupation on this table is registered nurses: 205,810 employed, $109,440 mean. A New York expansion budget that undershoots this wage tends to run out of working capital before the new chairs fill. Verified

15,505 designations are on file for New York, covering primary care, mental health, dental. Designated counties come with recruitment tools, so a hiring plan written around them holds together under a lender's ramp assumptions. Verified

• Dental offices: $641,505 average across 44 New York approvals worth $28.2 million, so a request in that range reads as routine rather than exceptional.
• Pharmacies: average approval $558,225 over 40 closings worth $22.3 million. At $558,225 against $22.3 million of state volume, that is an equipment or fit-out request more often than an acquisition.
• Physician and specialty offices: $20.3 million across 63 approvals, averaging $322,102. Above $322,102 the file needs collateral or trading history that most of those 63 New York borrowers did not have to show.
• Veterinary practices: 12 approvals, $18.3 million, $1.5 million average. A New York request near $1.5 million sits inside the band 12 approvals already established.
• Physical, occupational, and speech therapy: $199,289 on average, 45 approvals, $9.0 million in total. Match $199,289 and the timeline is ordinary; ask well above it and the New York diligence list lengthens.
• Home health and hospice: $8.8 million across 18 approvals, averaging $487,083. Above $487,083 the file needs collateral or trading history that most of those 18 New York borrowers did not have to show.
• Medical staffing: $7.7 million across 26 approvals, averaging $294,831. Above $294,831 the file needs collateral or trading history that most of those 26 New York borrowers did not have to show.
• Med spa and personal care: 38 approvals, $7.5 million, $198,587 average. A New York request near $198,587 sits inside the band 38 approvals already established.
• Behavioral health and ABA: 41 approvals, $7.4 million, $180,666 average. A New York request near $180,666 sits inside the band 41 approvals already established.

• Dollar volume in New York concentrates in dental offices: 44 approvals, $641,505 on average, 18 percent of the state's healthcare total. Match that size and the file follows a well-worn path; sit well under it and the request is usually equipment or working capital instead.
• Next in the New York file is pharmacies at $22.3 million over 40 approvals, followed by physician and specialty offices. Where volume thins out, expect a longer memo, more history, and a smaller first advance.
• CMS lists 4,858 medical equipment suppliers in New York. Certification is a license to bill, and a funder treats it as revenue evidence a start-up cannot produce, which is why an established certified operator sees longer terms on the same request.
• New York records 17 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.

• 389 SBA approvals to New York healthcare borrowers in FY2025¹
• $158.2 million approved, averaging $406,591 per loan¹
• 5,507 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

• New York State Board for Medicine, licensure and ownership questions for physicians
• New York State Board for Dentistry, licensure and ownership questions for dentists
• New York State Department of Financial Services, the regulator behind Disclosure Requirements for Certain Providers of Commercial Financing Transactions (23 NYCRR 600)

Also covered in New York: Saratoga Springs, Mount Kisco, Sleepy Hollow, Canandaigua, Batavia, Utica, Ossining, Ithaca, New Hyde Park, Rome, Dobbs Ferry, Plattsburgh, Long Beach, Patchogue, Hempstead, Peekskill, Corning, Elmira, Cortland, West Haverstraw, Mineola, Spring Valley, Binghamton, Gloversville, Dunkirk, Harrison, Kenmore, Chestnut Ridge

• All states covered
• Every financing program
• Oregon healthcare practice financing, if the practice operates across the line
• South Dakota healthcare practice financing, for a side-by-side on rules and loan volume
• Vermont healthcare practice financing, for a side-by-side on rules and loan volume
• Concierge and direct primary care, and where the collateral usually comes from
• Sleep centers, and where the collateral usually comes from
• Medical staffing, read on the terms that field is underwritten on
• ABA and autism therapy, and where the collateral usually comes from
• Specialty physician groups, and where the collateral usually comes from
• Skilled nursing, assisted living, and memory care, 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. 7New York corporate practice rules
8. 8New York certificate of need
9. 9Disclosure Requirements for Certain Providers of Commercial Financing Transactions (23 NYCRR 600), New York State Department of Financial Services
10. 10New York State Board for Medicine
11. 11New York State Board for Dentistry