Skymont Lenders, a small-business funding service in Rexburg, ID, helps chiropractors, physical therapists and optometrists request equipment financing, term loans and working capital. Madison County, Idaho had 39 employer offices of other health practitioners in 2023, 64.1% with fewer than five employees. Partners look at collections, payer mix and the equipment being bought.
| NAICS 6213 offices with payroll, Madison County, ID | 39 employers (CBP 2023) |
|---|---|
| Under five employees | 25, or 64.1% |
| In ZIP 83440 | 36 employers (ZBP 2023) |
| Nonemployer practitioners | 78 (NES 2024) |
| NAICS | 6213: chiropractors, PT, optometrists, others |
| Usual fits | Equipment financing first, then term loans and working capital |
Small Practices, Specialized Equipment
Chiropractic, physical and occupational therapy, optometry, podiatry and similar practices share a Census code (NAICS 6213). Each has specialized equipment to buy, and revenue that can arrive partly from patients and partly from insurers, after the visit.
That makes the funding conversation about two things. Equipment, which lasts years. And the gap between treating a patient and collecting for it, which repeats every month.
Chiropractic Equipment Financing
Drop tables, decompression tables, digital X-ray, and therapy modalities are the main chiropractic purchases. Chiropractic equipment financing through equipment financing uses the equipment as collateral. Imaging equipment and smaller modalities can differ in resale value, which a partner may weigh for each piece. Chiropractic practice loans for a broader package, such as a new clinic fit-out plus tables, may be structured as a term loan instead.
Business Loans for Physical Therapy Clinics and Gyms
Physical therapy business loans can fund space as well as machines: a therapy gym needs square footage, parallel bars, treatment tables, and exercise equipment that adds up across a gym. Where PT revenue comes from insurer reimbursements, partners may read collections and accounts receivable aging. A term loan fits a build-out; working capital fits a reimbursement slowdown.
Optometry Business Loans and Equipment
Optometry equipment financing covers exam lanes, phoropters, slit lamps, retinal cameras and OCT units. An optical shop adds a second business inside the practice: frames and lens inventory, which is stock bought ahead of sale. Optometry business loans can combine equipment financing for the lanes with inventory financing or a line for frames.
Buying an Optometry Practice: How Much Does It Cost, and How Is It Funded
There is no local figure to quote: the price depends on collections, patient base, equipment, lease terms and how much of the revenue is the selling doctor's personal production. What we can say is how partners approach it. They want the seller's financial statements and tax returns for several years, the asset list, the lease, and a transition plan. A practice purchase can be financed as a term loan, sometimes with seller financing for part of the price.
The same logic applies to chiropractic and therapy practice purchases. Our article on buying a dental practice covers the structure in more depth.
Prepaid Care Plans and Cash Patients
Some chiropractic and therapy offices may sell care packages or memberships paid in advance, and an optometry office may sell eyewear at the visit. That front-loaded cash looks healthy in a bank statement, but a partner will ask how much of it is already owed back as future visits. Be ready to explain how packages are recorded and how many remain unused.
Cash-pay patients can shorten the collection cycle compared with insurance, and partners may read the mix of cash and insured revenue.
What Partners Typically Review
- Collections and deposits, not just billed charges
- Payer mix: cash patients, commercial insurers, government programs
- Accounts receivable aging
- Equipment quotes with model and price
- The office lease and its remaining term
Matching the Need to an Option
| Need | Usual fit |
|---|---|
| Tables, imaging, exam lanes | Equipment financing |
| New clinic or added room | Term loan |
| Frames and lens stock | Inventory financing, or a draw on a line |
| Slow insurance reimbursements | Working capital |
| Buying an existing practice | Term loan, sometimes with seller financing |
Illustrative Example: Adding an Exam Lane
Hypothetical. A two-doctor optometry office in Rexburg, ID books out three weeks and wants a third exam lane. Equipment for the lane is quoted at $54,000, and the room needs $12,000 of build-out. The office could finance the equipment over its useful life and pay the build-out from cash, or wrap both into a single term loan. Partners would ask how many added exams per week the lane supports. Figures are made up.
Health Practitioners in Madison County, ID
Madison County, Idaho counted 39 employer offices of other health practitioners (NAICS 6213) in 2023, of which 25 (64.1%) had fewer than five employees; together they reported 240 employees (County Business Patterns 2023; employment is noise-infused). ZIP 83440 had 36 such offices (ZIP Business Patterns 2023).
Separately, 78 practitioners with no paid employees filed in 2024 (Nonemployer Statistics 2024), a different program and year. The wider ambulatory health care sector had 111 employer establishments in 2023.
Related pages: physician practices and dental practices. County figures are on the Rexburg, ID page, and every sector is on the industries page.
By Skymont Lenders · Updated