Marblemont Lenders, a small-business funding service in Sherman, Texas, explains medical practice funding: equipment loans and leases, working capital while insurance claims are paid, valuing a physician practice, buying in, and how patient financing for medical bills affects a practice. Grayson County physician counts come from the Census Bureau.
At a glance
- Offices of physicians, Grayson County, TX
113 employers, 1,385 employees (CBP 2023)
- Annual payroll, health care and social assistance
$519.0 million, the largest of any sector in the county (CBP 2023)
- Physician practices without payroll
98 (Nonemployer Statistics 2024)
Paying the clinic's bills while claims are pending
Payroll, rent, supplies and equipment payments run on fixed dates; insurer payments arrive after claims are submitted, reviewed and paid, and patient balances later still. A practice adding a provider pays the new salary for months before that provider's claims come back in full. That timing gap, not profitability, is the funding question a growing practice has to plan for.
How to Get a Business Loan for a Medical Practice in Texas as a Sherman, TX Business
Start with the bill. Exam tables, an ultrasound or an EHR system point to equipment financing. Payroll while claims are outstanding points to working capital or a line of credit. A build-out, a second location or a practice purchase points to a term loan. Partners read practice bank statements, the payer mix, accounts receivable aging, the providers' credit and any existing debt.
- Twelve months of practice bank statements
- Accounts receivable aging by payer
- Business tax returns and a current balance sheet
- Equipment quotes or a build-out estimate
- The lease, and for a purchase, the purchase agreement
How to Value a Physician Practice as a Sherman, TX Business
A practice is valued on what it earns for an owner, not on what it collects. Buyers and their advisers look at collections after the expenses a new owner would actually carry, the tangible assets (equipment, supplies, leasehold improvements), and how much of the patient base would stay after the seller leaves. A practice that depends on one physician's personal relationships is worth less to a buyer who is not that physician.
Valuation is work for a practice appraiser and an accountant, not for a funding page. The article on valuing a medical practice for sale in Grayson County walks through the pieces and what a funding partner reads.
How to Buy into a Medical Practice: A Grayson County, TX Checklist
- Get the buy-in price in writing, and what it buys: a share of equipment and receivables, a share of profits, a vote.
- Ask how the price was set and see the financial statements behind it.
- Agree how the buy-in is paid: cash at signing, salary withheld over time, or a loan.
- Have a lawyer review the partnership or operating agreement.
- If borrowing, send the request with the agreement and the practice's statements.
Where to Borrow Medical Equipment? A Sherman, TX Answer
For a practice, equipment comes three ways: buy it with an equipment loan, lease it from a leasing company or the manufacturer's finance arm, or rent it for a short need. A loan suits equipment that will stay in service for years. A lease suits imaging or diagnostic equipment that may be replaced before it wears out. Compare the total of all payments, and what happens at the end of the lease, before signing either.
How to Get a Loan for Medical Expenses: Notes From Sherman, TX
Patients asking how to pay for care are a practice question too. A practice can refer patients to a third-party patient financing program, offer its own payment plans, or both. Third-party programs pay the practice and collect from the patient; in-house plans leave the practice waiting for the money. Marblemont arranges business funding for the practice, not loans to patients.
Can You Get a Loan for a Medical Procedure? What Grayson County, TX Owners Should Know
Patients can, through consumer lenders and medical credit programs. For the practice, the decision is whether to offer such a program at the front desk. Read the program's terms for what the practice pays per transaction and who bears the loss if a patient stops paying. Those terms affect the practice's own cash flow more than any patient's.
Can You Finance Medical Bills in Sherman, TX?
When a practice carries patient balances on in-house plans, those balances sit in receivables for months. A practice with a growing pile of plan balances may find a line of credit covers payroll while the plans pay down. Illustration only, invented figures: a practice with $18,000 in patient plan balances collecting $1,500 a month takes twelve months to clear them ($18,000 / $1,500 = 12), and that is cash the practice has already earned but cannot use.
Grayson County, TX doctors' offices in Census Bureau tables
Offices of physicians had 113 employer establishments in Grayson County in 2023, with 1,385 employees and $149.9 million in annual payroll (CBP); 49.6% had fewer than five employees. By our arithmetic that is about 12.3 employees per practice and $108,249 of payroll per employee. It was the second most numerous four-digit industry in the county after restaurants, and 42 of the practices had a ZIP 75090 address (ZBP 2023).
Health care and social assistance carried the largest payroll of any sector, $519.0 million. Nonemployer Statistics, a separate program, counted 98 physician practices with no paid employees in 2024.
Related practices: dental practices and chiropractors and therapists. All industries: funding by industry; county figures: the Sherman, TX page.
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