Healthcare practice financing in Texas

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

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

Most of the Texas paper sits in HOUSTON, $29.9 million of it. Elsewhere the appraisal radius widens and the review runs longer. Verified

Where a Texas 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. Verified

HARRIS leads Texas with 204 certified providers, ahead of Harris at 137. A partner already lending into HARRIS has comparables to work from; outside the leading counties a practice is priced on its own history. Verified

46,621 establishments sit across the tracked Texas fields, led by physician and specialty offices at 14,831. Physician and specialty offices account for the largest share of the base at 14,831. Verified

The census file puts Harris at the top of Texas with 12,092 establishments. A lender pricing an acquisition looks for comparable sales nearby, and a thin county means the appraisal leans on a wider radius. Verified

The deepest Texas occupation on this table is registered nurses: 271,380 employed, $95,970 mean. Wage level sets the working capital cushion a lender expects to see behind a hiring plan. Verified

8,473 designations are on file for Texas, covering primary care, dental, mental health. Designation changes recruitment before it changes pricing: repayment support reaches a clinician hired there, and a stalled vacancy becomes fillable. Verified

• Physician and specialty offices: 126 approvals, $91.8 million, $728,664 average. A Texas request near $728,664 sits inside the band 126 approvals already established.
• Dental offices: $1.0 million on average, 75 approvals, $76.7 million in total. Match $1.0 million and the timeline is ordinary; ask well above it and the Texas diligence list lengthens.
• Veterinary practices: 37 Texas approvals totaling $52.5 million, $1.4 million each. With only 37 Texas approvals behind $52.5 million, the underwriter reads documents rather than precedent.
• Residential care and treatment: $46.4 million over 38 approvals in Texas, $1.2 million each, which sets what a comparable request can be documented against.
• Home health and hospice: $529,057 on average, 83 approvals, $43.9 million in total. Match $529,057 and the timeline is ordinary; ask well above it and the Texas diligence list lengthens.
• Med spa and personal care: $36.4 million across 82 approvals, averaging $444,285. Above $444,285 the file needs collateral or trading history that most of those 82 Texas borrowers did not have to show.
• Physical, occupational, and speech therapy: $23.6 million across 54 approvals, averaging $437,380. Above $437,380 the file needs collateral or trading history that most of those 54 Texas borrowers did not have to show.
• Optometry offices: $22.2 million across 22 approvals, averaging $1.0 million. Above $1.0 million the file needs collateral or trading history that most of those 22 Texas borrowers did not have to show.
• Behavioral health and ABA: $376,658 average across 52 Texas approvals worth $19.6 million, so a request in that range reads as routine rather than exceptional.

• The Texas record leans toward physician and specialty offices, which took $91.8 million across 126 approvals. The size of that average tells an owner which document set to gather first, and how long the review is likely to run.
• Dental offices account for 75 approvals and $76.7 million in Texas, ahead of veterinary practices. Fields with regular volume have living comparables in the state, and that is what keeps an offer from being priced defensively.
• 4,360 medical equipment suppliers operate under CMS certification in Texas. 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 Texas approvals, 37 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.

• 734 SBA approvals to Texas healthcare borrowers in FY2025¹
• $484.9 million approved, averaging $660,657 per loan¹
• 8,436 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

• Texas Medical Board, licensure and ownership questions for physicians
• Texas 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 Texas from an official source

Also covered in Texas: Katy, Seguin, Prosper, Weslaco, Huntsville, Corsicana, Stephenville, Brownwood, Snyder, Addison, Tomball, Waxahachie, Uvalde, Beeville, Mansfield, Benbrook, Mount Pleasant, Greenville, Stafford, Cleburne, Flower Mound, Humble, Temple, Trophy Club, Kingsville, Lancaster, Belton, Plainview

• All states covered
• Every financing program
• Washington healthcare practice financing, for a side-by-side on rules and loan volume
• Alabama healthcare practice financing, the nearest comparable record to this one
• California healthcare practice financing, if the practice operates across the line
• Veterinary, and the revenue mix a funder checks first
• IV hydration and infusion, with the payer profile behind the numbers
• Podiatry, including what collections history is asked for
• Home health, including what collections history is asked for
• Clinical and toxicology labs, with the capital events that field actually runs
• IDD services, including what collections history is asked for

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