Healthcare practice financing in Ohio

Each row links the Ohio authority behind it. How a rule lands on one practice is a legal question, and it belongs with a Ohio lawyer. Verified

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

COLUMBUS leads Ohio with $21.3 million across 28 approvals, $762,125 each, which is the comparable set an appraiser reaches for on a purchase there. Verified

If a Ohio category is missing, nothing is certified under it. An unloaded row carries no number on purpose, because a placeholder figure would travel further than it should. Verified

Cuyahoga leads Ohio with 35 certified providers, ahead of Franklin at 34. County concentration sets how much of a Ohio file rests on the practice itself rather than on nearby closings. Verified

Counted by employer rather than clinician, Ohio has 20,428 establishments in these fields. Set beside 20,428 establishments, 288 approvals is a thin slice of how capital actually moves here. Verified

No Ohio county carries more of the base than Franklin, with 3,646 establishments. Establishment counts set how long an acquisition search runs before a letter of intent is signed at all. Verified

143,730 people work as registered nurses in Ohio, at a mean of $82,510. The gap between planned pay and this mean is the first thing a credit analyst prices into a ramp. Verified

Ohio carries 4,809 designations across primary care, dental, mental health, Cuyahoga highest at 1,154. Expansion into a designated county is easier to staff, which is usually the binding constraint on a growth plan rather than the money. Verified

• Dental offices: 31 closings, $29.7 million approved, $958,252 typical. That average is the reference point a Ohio credit committee starts from on a similar file.
• Home health and hospice: 72 Ohio approvals totaling $20.4 million, $282,753 each. With only 72 Ohio approvals behind $20.4 million, the underwriter reads documents rather than precedent.
• Med spa and personal care: average approval $258,967 over 36 closings worth $9.3 million. At $258,967 against $9.3 million of state volume, that is an equipment or fit-out request more often than an acquisition.
• Residential care and treatment: 14 closings, $8.7 million approved, $624,714 typical. That average is the reference point a Ohio credit committee starts from on a similar file.
• Veterinary practices: average approval $593,477 over 13 closings worth $7.7 million. At $593,477 against $7.7 million of state volume, that is an equipment or fit-out request more often than an acquisition.
• Chiropractic offices: $275,726 on average, 27 approvals, $7.4 million in total. Match $275,726 and the timeline is ordinary; ask well above it and the Ohio diligence list lengthens.
• Physician and specialty offices: 26 Ohio approvals totaling $6.9 million, $264,246 each. With only 26 Ohio approvals behind $6.9 million, the underwriter reads documents rather than precedent.
• Behavioral health and ABA: average approval $259,559 over 22 closings worth $5.7 million. At $259,559 against $5.7 million of state volume, that is an equipment or fit-out request more often than an acquisition.
• Home care, non-medical: 13 approvals, $4.4 million, $337,862 average. A Ohio request near $337,862 sits inside the band 13 approvals already established.

• Dollar volume in Ohio concentrates in dental offices: 31 approvals, $958,252 on average, 27 percent of the state's healthcare total. Requests near that number are the ordinary case here, and a request far above it needs collateral or history the average file does not carry.
• Home health and hospice follow at 72 approvals and $20.4 million, then med spa and personal care at 36. Where a field shows steady volume, a lender in Ohio already holds paper on practices like it, and the credit memo has somewhere to point.
• CMS lists 2,005 medical equipment suppliers in Ohio. Where the certified base is large, the capital event is usually a purchase; where it is small, it is usually working capital against a payer contract.
• Ohio records 14 approvals through 504. That program funds buildings, so the count is a rough read on how many practices here stopped renting, and it tells an owner weighing a purchase that the debenture route closes in this state.

• 288 SBA approvals to Ohio healthcare borrowers in FY2025¹
• $111.1 million approved, averaging $385,691 per loan¹
• 3,507 CMS-certified providers across 5 categories²

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

• State Medical Board of Ohio, licensure and ownership questions for physicians
• Ohio State Dental Board, licensure and ownership questions for dentists
• Ohio has no verified state repayment scheme, state lending program, or financing disclosure regulator on file here

Also covered in Ohio: Wooster, Defiance, Elyria, Cuyahoga Falls, Tiffin, Hamilton, Fairfield, Medina, Chillicothe, Portsmouth, Bowling Green, Dublin, Newark, Miamisburg, Alliance, Marion, Findlay, Westlake, Wilmington, Salem, Van Wert, Maumee, Oregon, Sylvania, New Albany, Xenia, Fremont, Troy

• All states covered
• Every financing program
• Rhode Island healthcare practice financing, the nearest comparable record to this one
• Texas healthcare practice financing, for a side-by-side on rules and loan volume
• Washington healthcare practice financing, for a second reading of the same datasets
• Pain management and interventional, read on the terms that field is underwritten on
• Non-medical home care, with the payer profile behind the numbers
• Imaging centers, including what collections history is asked for
• ASCs and OBLs, with the payer profile behind the numbers
• Medical device and supply distributors, including what collections history is asked for
• Occupational health and drug testing, 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. 7Ohio corporate practice rules
8. 8Ohio certificate of need
9. 9State Medical Board of Ohio
10. 10Ohio State Dental Board