Healthcare practice financing in Washington

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

The largest county file in Washington is KENT: 6 approvals worth $6.0 million. Away from it, expect fewer local comparables and a longer credit memo. Verified

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

King leads Washington with 27 certified providers, ahead of Pierce at 16. Lenders read King volume as a benchmark, so a practice elsewhere in Washington carries more of the argument alone. Verified

Washington shows 18,857 establishments in these fields against 206 approvals, 1.1 per 100. The ratio of 1.1 per 100 says most Washington practices funded whatever they funded outside this program. Verified

The census file puts King at the top of Washington with 6,989 establishments. A dense county gives a buyer choice and a lender comparables; a sparse one gives neither, and the timeline stretches. Verified

OEWS puts 69,260 registered nurses in Washington at $124,200 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

Washington carries 5,301 designations across primary care, mental health, dental, King highest at 979. A vacancy in a designated county has a federal remedy attached; the same vacancy elsewhere is simply a gap in the schedule. Verified

• Residential care and treatment: average approval $897,709 over 34 closings worth $30.5 million. At $897,709 against $30.5 million of state volume, that is an equipment or fit-out request more often than an acquisition.
• Dental offices: 20 approvals, $20.7 million, $1.0 million average. A Washington request near $1.0 million sits inside the band 20 approvals already established.
• Chiropractic offices: 25 closings, $12.9 million approved, $514,964 typical. That average is the reference point a Washington credit committee starts from on a similar file.
• Veterinary practices: $1.7 million average across 6 Washington approvals worth $10.3 million, so a request in that range reads as routine rather than exceptional.
• Physician and specialty offices: $334,100 on average, 24 approvals, $8.0 million in total. Match $334,100 and the timeline is ordinary; ask well above it and the Washington diligence list lengthens.
• Home health and hospice: 17 approvals, $7.7 million, $453,141 average. A Washington request near $453,141 sits inside the band 17 approvals already established.
• Pharmacies: $6.3 million across 5 approvals, averaging $1.3 million. Above $1.3 million the file needs collateral or trading history that most of those 5 Washington borrowers did not have to show.
• Med spa and personal care: 23 closings, $6.2 million approved, $269,561 typical. That average is the reference point a Washington credit committee starts from on a similar file.
• Physical, occupational, and speech therapy: 15 closings, $4.1 million approved, $271,320 typical. That average is the reference point a Washington credit committee starts from on a similar file.

• The Washington record leans toward residential care and treatment, which took $30.5 million across 34 approvals. When a field already carries this much local paper, the credit committee has something to compare against, and the conversation moves faster.
• Behind the leader, Washington shows 20 approvals in dental offices and 25 in chiropractic offices. A funder with local paper in a field underwrites it on precedent; without precedent it underwrites on documents.
• On the certified side, Washington carries 1,018 medical equipment suppliers. A funder treats that license as proof of billable revenue, which is precisely what a start-up cannot show.
• Real estate shows up as 16 504 approvals in Washington. 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.

• 206 SBA approvals to Washington healthcare borrowers in FY2025¹
• $115.3 million approved, averaging $559,740 per loan¹
• 1,421 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

• Washington Health Corps, the state loan repayment route for clinicians recruited into shortage areas
• Washington Medical Commission, licensure and ownership questions for physicians
• Washington Dental Quality Assurance Commission, licensure and ownership questions for dentists

Also covered in Washington: Des Moines, Ellensburg, Centralia, Richland, Marysville, Olympia, Bothell, Sunnyside, Monroe, Bellingham, Lacey, Gig Harbor, Edmonds, Shoreline, Kennewick, Yakima, Arlington, Kenmore, Wenatchee, Mount Vernon, Maple Valley, Longview, Lynnwood, Mountlake Terrace, Bonney Lake, Walla Walla, Anacortes, Mercer Island

• All states covered
• Every financing program
• Alabama healthcare practice financing, if the practice operates across the line
• California healthcare practice financing, where the same fields price differently
• Florida healthcare practice financing, the nearest comparable record to this one
• Optometry and ophthalmology, and where the collateral usually comes from
• Medical weight loss and GLP-1 clinics, with the payer profile behind the numbers
• Audiology and hearing centers, including what collections history is asked for
• Urgent care, and where the collateral usually comes from
• DME and HME suppliers, and the revenue mix a funder checks first
• 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. 7Washington corporate practice rules
8. 8Washington certificate of need
9. 9Washington Health Corps
10. 10Washington Medical Commission
11. 11Washington Dental Quality Assurance Commission