Financing Your Practice
How healthcare practice financing actually works. SBA programs, BDC and CSBFP in Canada, equipment financing, lender relationships, DSCR, covenants, and the lender perspective.
Healthcare practice financing has its own ecosystem — specific programs (SBA in the US, BDC and CSBFP in Canada), specific lender expectations around DSCR and covenants, and specific equity injection requirements. This path covers how practice financing actually works from the lender's perspective so you can structure a request that gets approved on favourable terms.
The path, in order
What Lenders Actually Look at in Clinic Financing
The lender's perspective on healthcare practice loans. Cash flow analysis, collateral review, character assessment, and the framework lenders apply to evaluate a practice loan request.
Read this postThe Three Capital Stack Structures Most Clinic Startups Use
How startup capital is typically assembled across equity, commercial debt, and equipment financing. The three patterns most healthcare practice startups use.
Read this postHow CSBFP Works for Canadian Clinic Operators
The Canada Small Business Financing Program details, eligibility, what it covers, and how it's used in healthcare practice startups and acquisitions.
Read this postHow SBA Loans Work for Clinic Operators in the US
SBA 7(a) and 504 program structure, eligibility, terms, and how the two programs are used in combination for healthcare practice financing.
Read this postBDC and Chartered Bank Financing for Canadian Clinics
How BDC works alongside chartered bank lending for Canadian healthcare practices. Program differences, typical structures, and when each lender is the right fit.
Read this postEquity Injection Requirements for Canadian Healthcare Practice Loans
What equity injection means, how lenders verify it, what counts as acceptable equity sources, and the typical equity-to-debt ratios required for practice loans.
Read this postDebt Service Coverage Ratio in Healthcare Practice Lending
How DSCR is calculated, what target ratios lenders expect, how DSCR is stress-tested under conservative assumptions, and how to think about DSCR when planning a practice.
Read this postLoan Covenants in Healthcare Practice Financing
Financial covenants, operational covenants, reporting covenants, and what happens if covenants are breached. The loan terms that affect practice operations after closing.
Read this postHow to Think About Refinancing a Clinic Loan
When refinancing makes sense, what to consider before approaching a new lender, and how the refinance decision interacts with the broader practice financing structure.
Read this postHow to Read a Commercial Loan Term Sheet
The components of a commercial loan term sheet, what's negotiable vs. fixed, the items that matter most for practice operators, and the questions to ask before accepting terms.
Read this postTools for financing decisions
The Capital Structure Tool models four financing scenarios. The Refinance Calculator analyzes whether refinancing existing debt makes sense. The Cost Estimator helps you size your project before approaching lenders.
Open Tools Hub →