Full rooms, thin cash
First-quarter dollars sit with patients, not payers, and collect slowly. Size a line against the fourth-quarter book.
- Draw in FebruaryRepay by summer
- Collect upfrontBalances age fast
- Avoid fixed paymentsDecember flatters you
Care delivered is not cash collected.
One place for practice owners to measure what the billing cycle is really costing, size the working capital an aged claims book locks up, and see which financing structure fits the next move rather than the fastest one.
No hard credit pull to start. No applicant fees. Independent business capital advisors.
Capital Scan · Step 1 of 2
Takes 60 seconds. No hard credit pull.
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Start with the move
Pick one and the calculator below changes to the question that move actually asks.
Run the numbers first
A practice can be fully booked, correctly coded and genuinely profitable and still miss payroll, because the money for work already done is sitting in a claims system. This works out how much working capital that wait ties up, and what carrying it costs you across a year.
$290,000
At contracted allowed amounts. Gross charges here inflate every figure below.
85
45
Days in A/R off your ageing, plus the days it takes to get a clean claim out.
45
Collections less supplies, drugs, lab and the clinical hours the visit uses.
14
All-in annual cost of the facility you would actually draw on.
Capital tied up
At these figures, capital tied up comes out at $200,577.
$200,577
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Talk to a funding specialist
A real conversation about what these numbers mean before you apply to anything.
It prices the cash you lay out to deliver the care rather than the face value of the claims, which is why the working capital figure is smaller than the unpaid balance beside it. Because the cycle here starts at the visit rather than at claim submission, that unpaid balance includes work you have not billed yet and will read higher than the insurance line on your aged trial balance. Contribution margin means collections less what you actually pay out to deliver the visit: supplies, drugs and reference lab, plus the provider and clinical staff hours it consumes. It is not your net margin, and it is not after rent or the billing office. The cycle also lengthens for reasons that are not billing problems, such as a payer mix shift or a system migration, so read this alongside the over-90 day share of your ageing rather than on its own. There is no free public benchmark for days in accounts receivable in a US practice: the organisations that measure it sell it, so your own trend month to month is the comparison worth making.
What we actually structure for this industry. Your amount depends on the file.
Equipment, line of credit, term, SBA, asset-based, receivables, revenue-based, and a business HELOC.
No applicant fees and no hard credit pull to start. Funding partners set final terms.
The numbers
The cash year
Volume and cash trough in different months here, so fund against collections rather than the schedule.
Seasonal pattern
First-quarter dollars sit with patients, not payers, and collect slowly. Size a line against the fourth-quarter book.
Patients travel and staff take leave, so capacity drops on both sides. It is the right window for anything disruptive.
Every extra procedure spends supplies and staff hours now against a claim that pays later. Arrange the facility in August.
This is the typical shape for an insured practice. Your payer mix and specialty will move both troughs.
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Disclosure
Figures on this page are illustrative estimates only and are not an offer of financing. All amounts, rates, factor rates, terms, payment amounts, timelines, and qualification criteria vary by lender, depend on funder underwriting and your business's bank statement history, and are subject to change without notice. Nothing here is guaranteed until a funder issues terms and you sign them. Factor rates do not represent APR. Commera is a broker, not a lender, and does not set rates.
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Common questions
The questions owners ask before they apply, answered for practices.
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