Top 8 Practice Acquisition Lenders in 2026

For buyers of med spas, aesthetic and medical practices. Updated October 2, 2026 · Prepared by Prospyr. Prospyr makes practice software, not loans, and none of the lenders below is a Prospyr product or partner. Each summary reflects what the lender publishes on its own website, checked October 2026. Rates, terms and eligibility change often, so get every term in a written loan proposal before you sign a purchase agreement.

How do you finance buying an aesthetic or medical practice?

Most practice purchases are financed with a practice acquisition loan: an SBA 7(a) loan or a conventional bank loan that pays the seller and is repaid from the practice's own cash flow. Several healthcare lenders advertise up to 100% financing for qualified buyers, often with working capital and a short interest-only period built in. The lender underwrites the practice's tax returns and profit, the buyer's credit and clinical background, and the purchase price. For a med spa, also expect questions about who legally owns the medical side and who the medical director is.

The 8 practice acquisition lenders at a glance

How we chose this list

We looked for lenders that name practice acquisition as a loan purpose on their own website and that lend to medical practices, not only dental or veterinary. Then we checked four things a buyer can confirm before the first call:

• Aesthetic fit. Does the lender name med spas, plastic surgery or dermatology anywhere on its site?
• Published terms. Does it publish rates, loan sizes, financing percentages or term lengths?
• Acquisition structure. Does it describe 100% financing, working capital or interest-only periods for a purchase?
• Who funds the loan. Is it a bank lending its own money, or an advisor that places the loan with partner lenders?

Lenders that name med spas come first because a med spa purchase raises ownership questions a general medical lender may not expect. The order is our editorial view, not a measure of results. We left out patient financing companies and merchant cash advance products; this list is about loans to buy the practice itself.

1. US Medical Funding

US Medical Funding (USMF), based in Incline Village, Nevada, arranges practice financing for healthcare professionals nationwide. It lists professional practice loans from $100,000 to $75,000,000 and has dedicated pages for med spa, plastic surgery and dermatology practices, among more than 30 specialties.

What stands out:

• A med spa acquisition page. USMF states it offers SBA loans, conventional loans and commercial real estate loans built for med spa purchases, whether it is your first location or an added clinic.
• Free cash flow analysis before you buy. Its complimentary review covers the med spa's financial health, whether the purchase price and valuation are fair, whether the practice produces sustainable cash flow, and its patient retention and membership revenue.
• No up-front fees. The site advertises a simplified process with no up-front fees.
• Options presented. USMF says that after the first consultation it presents all of your finance options before you authorize anything.

Right for: a buyer of a med spa or aesthetic surgery practice who wants a second look at the seller's numbers before making an offer. Ask: whether USMF lends its own money or places the loan with a partner bank, who that lender is, and what fees apply at closing. The site also lists merchant cash advances; for a purchase, ask for a term loan proposal.

2. 1st Med Financial

1st Med Financial, in Pompano Beach, Florida, specializes in practice loans and has a med spa practice loan page alongside dental, veterinary, dermatology and other specialties. It states that it works through relationships with institutional investors that focus on healthcare underwriting, rather than lending from its own balance sheet.

What stands out:

• Published rates. Its med spa page lists conventional practice loans at 6.25%–6.75% fixed for 10 to 20 years, conventional real estate at 6.25%–6.75% fixed for 20 years, and SBA real estate at 9.25%–10.75% fixed for 10 to 25 years (as of October 2026, subject to change and geographic limits).
• 100% acquisition loans. It calls itself home of the 100% practice acquisition loan and says these can include up to 15% of the transaction amount as working capital.
• Timeline and fees. It reports a typical 30 to 45 day process and no up-front or application fees.
• Track record. It reports 30+ years of industry experience, 324 borrowers and $571 million in closed practice transactions.

Right for: a buyer who wants to compare published rates before a sales call. Ask: how many med spa or aesthetic deals it has closed. The recent closings it lists are dental and veterinary, and its med spa page still refers to podiatrists in one paragraph.

3. Live Oak Bank

Live Oak Bank, headquartered in Wilmington, North Carolina, is a national SBA lender with a healthcare practice lending team. It reports financing over $1.5 billion in practice loans to dental and medical professionals for acquisition, expansion, construction, commercial real estate, refinancing and working capital.

Right for: a physician or provider buying a medical practice who wants a large SBA lender with a team that only lends to healthcare practices. Its SBA loans go "up to $5 million and beyond," and its Live Oak Express product goes up to $350,000 for smaller deals. Ask: whether its medical team underwrites med spas and aesthetic practices. Its healthcare pages name dentists, ambulatory surgery centers, ophthalmologists and optometrists, not aesthetics.

4. Provide (Fifth Third Bank)

Provide is a division of Fifth Third Bank that finances dental, medical, veterinary and optometry practices, among other owner-run businesses. It offers conventional and SBA loans for buying or buying into a practice, refinancing, commercial real estate, tenant improvements and construction.

Right for: a buyer who wants bank financing with acquisition terms spelled out. For acquisitions, Provide advertises up to 100% financing, working capital to get started and six months of interest-only payments. It says you can pre-qualify in about two minutes with no impact on your credit score. Ask: whether it finances aesthetic practices owned through a management company, and what down payment it expects when the buyer is not a physician.

5. Panacea Financial

Panacea Financial, a division of Primis Bank, was co-founded by physicians and serves physicians, dentists and veterinarians. Its Panacea Practice Solutions team lends for acquisitions, partner buy-ins, startups (up to 100% of cost plus working capital), equipment (up to 10-year terms), expansion, refinancing and commercial real estate. It is the exclusive practice finance provider for ADA Member Advantage.

Right for: a physician buying into or buying out a practice who wants a digital application and a lender built around doctors. Panacea also lists deposit services for management services organizations (MSOs), which matters if your med spa uses an MSO and friendly physician structure. Ask: whether it lends to non-physician owners of an MSO, and whether association member discounts apply to you.

6. Bank of America Practice Solutions

Bank of America Practice Solutions offers loans to start, expand or acquire dental, veterinary, physician and optometry practices. Loan amounts and terms are customized and not published. It notes that Preferred Rewards for Business members can receive interest rate discounts of 0.25% to 0.35%, depending on tier.

Right for: a physician buyer who wants the acquisition loan and business banking at one large national bank. Ask: whether aesthetic and med spa practices qualify under its physician program; the page does not mention them.

7. U.S. Bank Practice Finance

U.S. Bank finances medical practice purchases, partner buy-ins, transition costs, equipment, real estate and startups through specialty bankers. It publishes more terms than most banks: up to 100% financing for qualifying borrowers, practice loan terms up to 15 years, commercial real estate terms up to 25 years, optional six-month interest-only periods and flexible prepayment. Both secured and unsecured loans are available, and it notes SBA options may be available.

Right for: a physician or physician group buying an established practice that wants a long amortization. Ask: what "qualifying borrower" means for 100% financing, and whether aesthetic-only practices fit its medical lending.

8. MainStreet Bank

MainStreet Bank, based in Fairfax, Virginia, offers medical practice lending to doctors and dentists who want to start, expand or acquire a practice. It lists SBA 7(a), SBA 504, Express lines of credit, Veterans Advantage loans and CAPLines alongside its own practice loans. Loan sizes and rates are not published.

Right for: a buyer in Virginia, Maryland or the Washington, DC area who prefers a community bank relationship over a national lender. Ask: its experience with med spa purchases, and how it handles a deal where the seller stays on for a transition period.

Questions to ask any practice acquisition lender

1. Do you lend your own money? Some companies on this list arrange loans with partner lenders. Ask who the actual lender is and who services the loan after closing.
2. How much do I need to put down? Get the down payment, the working capital included and any seller note requirement in writing. SBA loans have their own rules on seller financing.
3. Who can be the borrower? In states with corporate practice of medicine rules, a non-physician cannot own the medical practice directly. Ask whether the lender has financed an MSO and friendly physician structure.
4. How do you value the practice? Ask what multiple of earnings the lender will accept and whether it orders its own valuation. Our SBA lenders list covers SBA rules in more detail.
5. What happens to equipment leases? Lasers and devices are often leased. Ask whether existing leases transfer or must be paid off at closing, and see our aesthetic equipment financing list if you need to replace them.
6. What are the total fees? Ask for origination, packaging, SBA guarantee, appraisal and prepayment fees on one page.
7. What do you need from the seller? Ask which years of tax returns and financials they need, and whether they want provider production and membership revenue too.

Where Prospyr fits

A lender underwrites the practice's revenue, so the quality of the seller's reports matters. Before you close, ask for exports of revenue by provider and treatment, active memberships and prepaid packages, because those are liabilities you are buying. After the sale, Prospyr gives owners analytics and membership reporting that make the next lender or investor conversation easier. Book a practice demo.

Frequently asked questions

Can you get 100% financing to buy a med spa?

Sometimes. Several lenders on this list advertise up to 100% financing for practice acquisitions, but it is usually reserved for qualified buyers with strong credit, clinical experience and a practice with steady cash flow. Ask each lender what down payment it expects for your deal, especially if you are not a physician.

Is an SBA loan or a conventional loan better for buying a practice?

It depends on the deal. SBA 7(a) loans allow longer terms and lower down payments but carry guarantee fees and more paperwork. Conventional healthcare loans from banks like Provide or U.S. Bank can close faster for physician buyers with strong credit. Ask two or three lenders for written proposals on the same deal. If you need short-term cash instead, see our revenue-based financing list.

Can a non-physician get a loan to buy a med spa?

Yes, in many cases, but the structure matters. In states with corporate practice of medicine rules, a non-physician usually owns a management company that contracts with a physician-owned medical practice. Confirm the lender has financed that structure and talk to a healthcare attorney before you sign. See our med spa licensing guide.

How long does it take to close a practice acquisition loan?

Plan for one to three months. 1st Med Financial reports a typical 30 to 45 day process once documents are in. SBA loans and deals that include real estate often take longer.

Want your company considered?

We review this list quarterly. Lenders that finance practice purchases for med spas, aesthetic and medical practices can send their website and what they offer buyers to info@prospyrmed.com. Inclusion is editorial and not paid.

Editorial scope

This list is based on each lender's public website, checked October 2026 with AI-assisted research. Lenders did not review this article before publication. It is not financial or legal advice, a loan offer, or a substitute for comparing written proposals and checking references. Read our methodology or report a correction.