Healthcare

Financing for healthcare providers who can't wait for insurance reimbursement

Bridge the gap between service delivery and payment. Fund operations, meet payroll, and expand services, without waiting 60-120 days for insurance reimbursement.

Capital that understands healthcare billing and moves at care delivery speed.

The challenge

The healthcare services cash flow challenge

Healthcare services operate on a payment timeline that no other industry accepts. You deliver care on Monday. You submit a claim on Wednesday. The payer processes the claim in 30-45 days. The explanation of benefits arrives. A portion is denied. You appeal. The appeal takes another 30 days. The approved amount is 60-70% of billed charges. The patient responsibility portion enters a separate collection cycle.

A home healthcare agency with 80 clinicians runs $400K in monthly payroll. Medicare reimburses in 30-45 days for clean claims, 60-90 days for claims requiring additional documentation. Medicaid timelines vary by state, ranging from 30 to 120 days. Commercial payers average 45-60 days. At any given time, $600K-$1M in delivered services sits in the reimbursement pipeline, moving through coding review, claim submission, payer processing, denial management, and appeals.

Non-emergency medical transport companies face a similar gap: trips are completed daily, but Medicaid reimbursement arrives in 60-120 days depending on the state and broker.

Your Costs Are Immediate

  • Payroll: Weekly or biweekly for clinicians, nurses, therapists, drivers, administrative staff
  • Medical supplies and equipment: Ordered and paid before or at service delivery
  • Liability and malpractice insurance: High premiums, paid quarterly or annually
  • Credentialing, licensing, compliance: Ongoing costs with no revenue offset
  • Vehicle and fleet costs (NEMT): Fuel, maintenance, insurance, paid daily

Your Revenue Comes Later

  • Medicare reimbursement: 30-45 days for clean claims, 60-90 days with documentation requests
  • Medicaid reimbursement: 30-120 days depending on state and claim complexity
  • Commercial insurance: 45-60 day average, with denial rates of 5-15% requiring resubmission
  • Patient responsibility: Co-pays and deductibles enter a separate, slower collection cycle
  • Prior authorization delays: Services delivered before payment confirmation, creating write-off risk

The result

You're delivering care today but getting paid months later. Payroll can't wait for insurance reimbursement. Growth opportunities require capital you don't have tied up in receivables. You're profitable on paper but cash-flow constrained in reality.

Sound familiar?

When healthcare providers need financing

Expanding Service Territory or Adding Patients

A new contract with a health system will add 50 patients immediately. You need to hire 8 clinicians now, but first reimbursement won't arrive for 90 days.

Solution Invoice factoring or AR financing provides immediate capital against the new receivables, funding team expansion before insurance payment arrives.

Insurance Reimbursement Takes 90-120 Days

Medicare and managed care contracts pay in 60-120 days. You need to maintain operations and payroll while waiting for reimbursement.

Solution Healthcare-specialized invoice factoring converts insurance receivables to immediate cash, bridging the payment gap.

Claim Denials Create Cash Flow Gaps

Insurance denials and appeals delay payment by additional 30-60 days. Cash flow becomes unpredictable.

Solution AR financing facility provides working capital against your clean claims while you work through denials and appeals.

Payroll Every Two Weeks, Reimbursement Every 90 Days

Your clinical staff gets paid bi-weekly, but insurance reimburses quarterly. You're constantly stressed about making payroll.

Solution Healthcare AR financing or specialized payroll funding ensures consistent payroll regardless of reimbursement timing.

Opening New Location or Service Line

Expanding to a new region requires upfront investment, staff, equipment, office space, before regional patient revenue materializes.

Solution Asset-based lending against existing receivables provides capital for expansion while maintaining current operations.

Seasonal Patient Volume Fluctuations

Q1 and Q4 see increased patient volume requiring additional staff, but cash flow is still recovering from previous quarter's lower volume.

Solution Flexible AR financing that scales with your receivables, providing more capital during high-volume periods.

The toolkit

Financing solutions built for healthcare providers

Different healthcare challenges require different financing tools. Here's what works best for the situations healthcare providers face:

Healthcare Invoice Factoring

Best for
Healthcare providers with insurance reimbursement delays
How it works
Turn outstanding insurance receivables into immediate cash (80-90% advance). We specialize in healthcare billing. We understand CPT codes, EOBs, and insurance payment patterns.
Typical use cases
  • Bridging service delivery and insurance reimbursement
  • Managing cash flow with Medicare/Medicaid timing
  • Funding operations during claim processing
  • Working through denials and appeals without cash flow strain
  • Scaling patient census before reimbursement arrives
2-5 business days to first fundingLearn more

Healthcare AR Financing

Best for
Established healthcare providers with consistent receivables and payor mix
How it works
Credit line secured against your entire insurance receivables portfolio. You maintain control over billing and collections while accessing capital based on outstanding claims.
Typical use cases
  • Consistent working capital across multiple payors
  • Managing payroll with unpredictable reimbursement timing
  • Scaling census before reimbursement arrives
  • Maintaining operations through contract transitions
  • Growth capital without equity dilution
1-2 weeks for facility setup, then 24-48 hour accessLearn more

Equipment Leasing & Financing

Best for
Healthcare providers needing medical equipment, vehicles, or technology
How it works
Finance equipment purchases over time, preserving working capital for operations and payroll. Payments align with the equipment's productive use.
Typical use cases
  • Medical equipment and devices
  • DME inventory for home health providers
  • Vehicles for mobile healthcare services
  • EMR and healthcare technology systems
  • Office equipment and furniture
1-2 weeks depending on equipment typeLearn more

In practice

How healthcare providers use our financing

Home Health Agency

Challenge
Won Medicare Advantage contract adding 100 patients, needed to hire 15 nurses immediately but reimbursement was 90 days out
Solution
Healthcare AR financing facility against new contract receivables
Result
Successfully ramped census, maintained quality scores, contract expanded
Timeline
Facility approved in 5 days, first draw same week
Industry
Home health services

Physical Therapy Practice

Challenge
5 locations generating $200K monthly revenue, but insurance reimbursement took 75-90 days causing constant payroll stress
Solution
Healthcare invoice factoring providing immediate capital on claims
Result
Stabilized cash flow, opened 2 additional locations within 12 months
Timeline
Factoring established in 4 days
Industry
Outpatient therapy

Medical Staffing Company

Challenge
Hospital contract required 30 temporary nurses immediately, but payment was Net 90. Couldn't fund 3 months of payroll.
Solution
Specialized healthcare staffing facility with rapid funding
Result
Fulfilled contract, expanded to 4 additional hospital systems
Timeline
Facility approved in 3 days
Industry
Healthcare staffing

Non-Emergency Medical Transport

Challenge
Medicaid contract with 120-day reimbursement cycle, needed working capital to maintain fleet and drivers
Solution
Healthcare factoring specialized in transportation services
Result
Scaled from 15 to 35 vehicles, maintained service quality
Timeline
First funding in 5 days
Industry
Medical transportation

Get a healthcare finance quote

Tell us a little about your receivables and payor mix and we'll come back with real numbers: advance rate, fee, and timeline.

Same-day preliminary answer

The difference

Why healthcare requires specialized financing

  1. Insurance Reimbursement Expertise Required

    Traditional lenders don't understand healthcare billing. CPT codes, EOBs, insurance payment patterns, denial rates, payor mix, these require healthcare financing expertise. We specialize in healthcare and understand how reimbursement actually works.

  2. 60-120 Day Payment Cycles Are Industry Standard

    Healthcare has the longest payment cycles of any industry. Medicare, Medicaid, and managed care don't pay quickly. You can't change this. You need financing that bridges it. We provide capital specifically structured for healthcare's extended payment timing.

  3. Regulatory and Compliance Complexity

    HIPAA, state licensing, accreditation, credentialing, Medicare certification, healthcare is heavily regulated. We understand these requirements and structure financing that works within healthcare's regulatory framework.

  4. Claim Denials and Appeals Are Inevitable

    Even excellent providers face claim denials. Appeals take time. Traditional lenders see this as risk. We understand denial patterns, know which claims are appealable, and provide capital that accounts for normal denial rates.

  5. Quality Metrics and Outcomes Matter

    Healthcare is moving toward value-based care. Quality scores affect reimbursement rates. Patient outcomes impact contracts. We evaluate providers based on clinical quality, not just financial metrics. Your HEDIS scores and STAR ratings matter to us.

Who we serve

We understand your type of healthcare service

Home Health & Home Care

Skilled nursing, home care, hospice, home infusion. Medicare/Medicaid heavy, 60-120 day reimbursement, high staffing needs.

Typical needs Healthcare factoring, AR financing, payroll funding

Outpatient Therapy Services

Physical therapy, occupational therapy, speech therapy. Multi-location, insurance-based, consistent patient flow.

Typical needs Healthcare AR financing, equipment financing, growth capital

Medical Staffing

Nursing staffing, allied health staffing, physician locum tenens. High-volume receivables, rapid placement needs, payroll critical.

Typical needs Specialized staffing facilities, high-advance factoring, payroll funding

Behavioral Health Services

Outpatient mental health, substance abuse treatment, counseling centers. Insurance reimbursement, sliding scale, some private pay.

Typical needs Healthcare factoring, AR financing, working capital facilities

Non-Emergency Medical Transport

Ambulance services (non-emergency), wheelchair transport, stretcher services. Medicaid-heavy, long payment cycles.

Typical needs Healthcare factoring specialized in NEMT, equipment financing for vehicles

Specialty Healthcare Services

Medical billing services, durable medical equipment, diagnostic services, lab services. B2B healthcare, varied payment terms.

Typical needs Invoice factoring, AR financing, equipment financing

Getting started

How to get healthcare financing

  1. Initial Conversation30 minutes

    Share your situation, challenges, and what you're trying to accomplish. We explain which financing solutions fit your needs and provide estimated terms.

  2. Submit InformationSame Day

    Basic business information: financials, receivables aging by payor, payor mix breakdown, sample EOBs or remittance. We review and provide a proposal within 24-48 hours.

  3. Approval & Documentation2-3 Days

    Review and approve final terms. Sign agreements electronically. Complete due diligence process (licensing verification, Medicare certification if applicable).

  4. Funding2-5 Days Total

    Access capital for your immediate needs. For facilities (AR financing), establish credit line for ongoing access.

Ongoing support

Dedicated account team with healthcare expertise. Direct decision-maker access. Regular business reviews. Adjust facilities as your census and needs evolve.

Common questions

Healthcare finance questions answered

We work with home health, therapy practices, medical staffing, behavioral health, non-emergency medical transport, DME providers, and other healthcare service businesses. If you bill insurance and have receivables, we can help.

Yes. We specialize in healthcare financing. We understand CPT codes, ICD-10, EOBs, insurance payment patterns, Medicare/Medicaid, managed care, denial rates, and payor mix. We evaluate your receivables based on healthcare-specific factors.

Absolutely. We work with providers who have significant Medicare and Medicaid receivables. We understand government payment patterns and structure financing accordingly. Medicare is often considered among the highest-quality receivables.

We understand denials are part of healthcare. We evaluate your clean claim rate, denial patterns, and appeal success rate. We provide capital against clean claims while you work through normal denial and appeal processes.

Yes. Extended reimbursement cycles are exactly why healthcare providers need specialized financing. Invoice factoring or AR financing provides immediate capital, so you're not waiting 3-4 months for payment.

Absolutely. Growth is where healthcare financing provides the most value. As you add patients, your receivables grow, which means your available capital grows. The facility scales with your census automatically.

For healthcare factoring, payors typically pay an account in your name at our lockbox (notification factoring). For AR financing facilities, we can structure non-notification arrangements where payors continue paying you directly.

For immediate needs, healthcare factoring can fund in 2-5 business days. For ongoing needs, an AR financing facility provides 24-48 hour access once established (1-2 weeks for initial setup).

Recent financials (P&L, balance sheet), accounts receivable aging by payor, payor mix breakdown, and sample EOBs or remittance documents. We'll want to understand your billing cycle, average days to payment, and denial rates.

Instead of waiting 60-120 business days for insurance payment, you get 80-90% of the invoice value in 2-5 business days. This eliminates cash flow stress, enables growth, and lets you focus on patient care instead of constantly worrying about payroll and operations.

Ready to bridge the gap between care delivery and reimbursement?

Get a healthcare finance quote in 24 hours.

The Flow

One working-capital decision every other week. Which asset to borrow against, what a facility costs all-in, or how to make payroll before your customer pays, in a two-minute read.

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