Ironport Capital Group, a small-business funding service in Logan, Utah, helps Cache County physician and medical practices find working capital for reimbursement lag, equipment financing for exam and diagnostic equipment, and term loans for practice purchases and partner buy-ins. The county had 120 physician offices with employees in 2023 (CBP), paying about $81.8 million in wages.
| Offices of physicians, Cache County | 120 employer establishments in 2023 (CBP, NAICS 6211) |
|---|---|
| Employees and payroll | 846 employees, about $81.8 million payroll (CBP 2023) |
| Cache County share under five staff | 64.2% (CBP 2023) |
| Physician practices with no payroll | 58 in 2024 (Nonemployer Statistics, NAICS 2022 6211) |
Reimbursement lag: the medical practice's working capital problem
A physician practice bills insurers, Medicare and Medicaid after the visit, and payment follows on the payer's schedule. Denials, coding corrections and resubmissions push some claims out further. Meanwhile staff, rent, supplies and malpractice premiums are paid on time every month. Working capital for medical practices is usually about carrying that gap, especially when a new provider or service line is ramping up.
Partners reviewing medical practice business loans look closely at the accounts receivable aging: the dollars outstanding, payer by payer, and how many days each claim has aged.
Medical practice equipment financing options
Exam tables, ultrasound, EKG and diagnostic equipment, in-office lab analyzers, procedure equipment and EHR hardware can be financed through equipment financing. Larger items such as imaging may need site preparation; ask whether partners include it. Healthcare practice loans for equipment are often easier to arrange than unsecured working capital, because the equipment secures the balance.
Physician practice buy-in loans
When a physician buys into an existing practice, the buy-in price is often paid over time or funded with a term loan in the physician's name or the practice's. A physician practice buy-in loan is reviewed on the practice's financials and the incoming physician's income and credit. Ask the practice for its buy-in agreement, financial statements and how the price was set.
Medical clinic loans for expansion and purchase
Opening a satellite clinic, adding a procedure room or buying a retiring physician's practice is a priced project, suited to a term loan. Partners will want the existing practice's collections, the lease or purchase agreement and the budget. Medical clinic loans for a purchase also need the seller's records.
A labeled example: the cost of a slower payer
Illustration only, with invented figures. A three-physician practice collects $180,000 a month. If its main payer slows payment by 15 days, about half a month of collections, $90,000, is delayed, while payroll and rent do not move. A practice with $60,000 in the operating account would be short. A working capital draw sized to the delay, repaid as the late payments arrive, covers it without long-term debt.
The by-hand version for your practice: take average daily collections, multiply by the number of days a delay adds, and compare that to the cash on hand after the next payroll.
Credentialing a new physician: the gap before claims pay
A physician joining a practice usually has to be credentialed with each insurer before claims for their visits can be paid. Until then, the practice pays the new salary while some or all of the new visits cannot yet be billed, or are billed and held. The length of that gap depends on the payers, and this site has no local data on it; the practice's own past hires are the clearest guide.
For a funding request, lay the gap out by month: the new physician's salary and benefits, expected visits, which payers are credentialed by when, and when the first payments should arrive. That schedule sets the size of a working capital request, and it shows a partner that the practice has planned for the delay.
Cache County, UT physician practices: what CBP and NES count
County Business Patterns counted 120 offices of physicians with employees in Cache County in 2023 (NAICS 6211), with 846 employees and about $81.8 million in payroll. Nearly two-thirds, 77 offices, ran with fewer than five people. Only 13 were in ZIP 84321, a smaller share of the county total than for any other profession on this site, by our arithmetic (ZBP 2023).
Nonemployer Statistics counted 58 physician practices with no paid staff in 2024 (NAICS 2022 code 6211), a separate program. The county also had 48 outpatient care centers with employees (CBP 2023). Neighboring Cache County practice pages: dentists and chiropractic, PT and optometry offices; county data is on the Logan, UT business page.
By our arithmetic from CBP 2023, the 120 physician practices averaged 7.0 employees and about $96,700 of payroll per employee. The 13 in ZIP 84321 are about 11% of the county count, far below the roughly one-third Logan-ZIP share for auto repair or accounting (our arithmetic). Dividing Nonemployer Statistics receipts by its business count gives about $128,200 per no-payroll physician business in 2024 (our arithmetic), a separate program.
A claim's path from exam room to deposit
The working capital gap in a physician practice is easiest to see one claim at a time. The timings below are illustrative; your clearinghouse and payer reports have the real ones.
- The visit happens and the charge is coded the same day or within a few days.
- The claim goes to the payer through the clearinghouse; a rejected claim restarts the clock after it is corrected.
- The payer adjudicates and pays, or denies, often several weeks later; patient balances are billed only after that.
- Patient payments trickle in over the following one to three months.
- Meanwhile payroll, rent, supplies and malpractice premiums have each been paid at least once.
A practice adding a provider multiplies this: the new physician's wages start right away, while the first claims under their credentials pay weeks or months later. Partners reviewing a physician practice buy in loan or a working capital request read the accounts receivable aging and denial rate early, because those two reports show how reliably claims turn into cash.
What partners commonly review for a Cache County, UT medical practice
- A/R aging split by payer
- Collections and production, month by month
- Bank statements and tax returns for the practice
- Equipment quotes, buy-in agreements or purchase contracts
- Licenses and credentialing for the physicians
Business loans for medical practices are judged on collections and payer mix; partners do not publish approval criteria.





