Best SBA Lenders for Med Spas and Clinics (2026): 8 Compared

For med spa and clinic owners. 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 company publishes on its own website, checked October 2026. Rates, terms and eligibility change often, so confirm everything in a written term sheet before you sign.

What does an SBA or healthcare practice lender do?

An SBA or healthcare practice lender finances the big costs of owning a practice: buying an existing med spa or clinic, building out a new space, buying the building, refinancing expensive debt, or adding working capital. SBA lenders make loans that the U.S. Small Business Administration partly guarantees, which usually means longer terms (up to 10 years for working capital and equipment, up to 25 years for real estate) and lower monthly payments than short-term financing. Healthcare-focused lenders add underwriters who know how practices earn money. Some companies on this list are banks; others are advisors or brokers who place your loan with a bank.

The 8 SBA and healthcare practice lenders at a glance

How we chose this list

We looked for lenders and loan advisors that a med spa or clinic owner could realistically call this month, and checked four things on each company's own website:

1. Healthcare focus. Does the company name medical practices, and ideally med spas or aesthetic specialties, as a market?
2. SBA access. Does it offer SBA 7(a) or 504 loans directly or through lending partners?
3. Published terms. Does it publish loan sizes, term lengths, fees or rate ranges before you apply?
4. Fit for aesthetic ownership. Can it work with the way med spas are often owned, including non-physician owners and management company structures?

Banks come first because they make the credit decision themselves. Brokers and advisors follow because they can save you time but add a step. The order is our editorial view, not a measure of results. For equipment-only financing, see our list of aesthetic equipment financing companies.

1. Live Oak Bank

Live Oak Bank is a branchless, fully digital bank and an SBA Preferred Lender. Its healthcare practice page states it has financed over $1.5 billion in practice loans to dental and medical professionals for acquisition, expansion, construction, commercial real estate, refinancing and working capital, and that its healthcare lenders work only with medical professionals.

What stands out:

• SBA size range. It advertises Live Oak Express SBA loans up to $350,000 and larger SBA loans "up to $5 million and beyond."
• Dedicated healthcare team. Named specialty pages cover dental, ambulatory surgery centers, ophthalmology and optometry, plus a general medical page.
• Nationwide. No branch network, so location does not limit who it lends to.

Right for: an owner buying or building a practice who wants a bank that does a large volume of SBA lending. Ask: how many med spa or aesthetic practice loans its team has closed, how it treats a management services organization (MSO) structure, and what equity injection it will require. Live Oak also sells merchant services; this list covers its lending only.

2. Bank of America Practice Solutions

Bank of America Practice Solutions is the bank's practice lending group for physicians and optometrists. It finances startups, acquisitions, expansions, new locations, equipment, commercial real estate and working capital, and states it offers up to 100% financing. It also offers SBA 7(a), 504 and Express loans, subject to SBA guidelines.

What stands out:

• Aesthetic specialties named. Its startup financing list includes dermatology and plastic surgery.
• Project support. Startup project loans come with a project consultant who coordinates payments to suppliers on the borrower's behalf.
• Established practices. It states it finances "a wide range of specialties" and asks owners to call to confirm.

Right for: a physician opening a dermatology or aesthetic surgery practice who wants a large bank to manage the build-out draw schedule. Ask: whether a med spa owned by a non-physician qualifies, and what the rate, fees and payment structure are, since it does not publish them.

3. Provide (Fifth Third Bank)

Provide is a division of Fifth Third Bank that finances and banks practice owners in medical, dental, veterinary and optometry fields. For medical owners it lists acquisition, equipment, refinancing, commercial real estate, tenant improvements, ground-up construction, equity cash-out and SBA loans, with conventional or SBA structures.

What stands out:

• Acquisition terms. Its medical page advertises up to 100% financing, working capital, and six months of interest-only payments on acquisitions.
• Soft pre-qualification. It states you can pre-qualify in about two minutes with no impact on your credit score.

Right for: a provider buying an existing clinic or funding tenant improvements on a new space. Ask: whether its medical program covers med spas and cash-pay aesthetic practices, and whether the interest-only period applies to SBA loans or only conventional loans.

4. Panacea Financial (Primis Bank)

Panacea Financial is a division of Primis Bank, co-founded by two practicing physicians, that offers banking and lending to physicians, dentists and veterinarians. Its practice loan menu covers partner buy-ins, equipment, expansion or relocation, acquisitions, refinancing, startups, lines of credit, working capital and commercial real estate, and its navigation lists SBA lending.

What stands out:

• Startup financing. It advertises startup loans covering up to 100% of the cost plus working capital.
• Equipment. Equipment loans with terms up to 10 years and approval in as little as one hour, per its site.

Right for: a physician-owned aesthetic or wellness practice, or a doctor buying into an existing one. Ask: whether it lends to a med spa owned by a nurse practitioner or non-clinical owner, and which loans are SBA versus conventional. Panacea also sells payments and personal loans; this list covers practice lending only.

5. ProMed Financial

ProMed Financial, based in Costa Mesa, California, reports helping healthcare professionals secure over $1 billion in financing since 1993. It lists medical spas among the practice types it serves, alongside physicians, dentists, veterinarians, chiropractors and urgent care centers. It offers SBA lending, acquisition, startup, expansion, equipment, working capital, debt consolidation and real estate financing, and it also brokers practice sales.

Right for: an owner who is buying or selling a practice and wants the financing and the transaction handled by one advisor. It advertises loans from $100,000 to $10 million, 5- to 25-year terms, no prepayment penalties, and 48-hour approvals with 7 to 10 day funding. Ask: whether ProMed is lending its own money or placing your loan with an SBA lender or bank, what it charges for that, and how it handles a conflict if it represents the seller.

6. 1st Med Financial

1st Med Financial, based in Pompano Beach, Florida, arranges practice financing for dental, veterinary, optometry, dermatology, podiatry, pharmacy and med spa practices. Its med spa page covers conventional practice loans, conventional real estate loans, SBA 7(a) and 504 loans, equipment and working capital, for acquisitions, startups, expansions and refinancing.

Right for: an owner who wants to see rate ranges before talking to anyone. Its site lists conventional practice loan rates of 6.25% to 6.75% with fixed terms up to 20 years and SBA real estate rates of 9.25% to 10.75%, as of October 2026, and states it charges no up-front or application fees. Ask: when those rates were last updated and who the actual lender is. Its med spa page reuses wording from its podiatry page, so ask how many med spa loans it has closed.

7. US Medical Funding

US Medical Funding, based in Incline Village, Nevada, has a dedicated med spa page covering SBA 7(a) and 504 business and real estate loans, acquisition financing, startup loans, expansion and construction, equipment financing and leasing, refinancing and debt consolidation, and working capital. It advertises professional practice loans from $100,000 to $75 million.

Right for: an owner who wants one contact to compare SBA, conventional and equipment options for a med spa. Ask: whether it is the lender or a broker, what it is paid and by whom, and which bank will hold the loan. It also lists merchant cash advances; those cost far more than an SBA loan, so treat them as a last resort. For short-term options, compare our list of revenue-based financing for clinics.

8. SmartBiz Bank

SmartBiz Bank is a small-business bank, not a healthcare specialist, that focuses on SBA 7(a) loans through an online application. Its SBA page advertises loans of $50,000 to $350,000 for working capital and debt refinancing, with 10-year repayment terms and SBA-capped variable rates.

Right for: an established med spa or clinic that wants to replace high-cost debt, such as a merchant cash advance or credit card balances, with a longer SBA loan. Ask: about eligibility first. It states borrowers are typically 3+ years in business with strong credit and cash flow, and that all direct and indirect owners must be U.S. citizens or U.S. nationals. It is not a fit for a startup or an acquisition.

Questions to ask any SBA or practice lender

1. Are you the lender or a broker? If a broker, ask which bank makes the credit decision and how the broker is paid.
2. Are you an SBA Preferred Lender? Preferred lenders can approve SBA loans in-house, which usually shortens the timeline.
3. How do you underwrite a med spa? Ask how it treats a physician-owned professional entity paired with a management company, and which entity signs the loan.
4. What equity injection and collateral do you require? SBA loans for startups and acquisitions typically require a cash injection from the buyer, and SBA rules require personal guarantees from owners of 20% or more.
5. What are all the fees? Ask for the SBA guarantee fee, packaging fee, closing costs and any prepayment penalty in writing.
6. What happens if I miss the timeline? Ask how long underwriting and closing usually take, and whether rate locks or seller deadlines are at risk.
7. What financials will you need? Most lenders ask for tax returns, profit and loss statements, a debt schedule, and revenue by service line.

Where Prospyr fits

Lenders want clean numbers: revenue by service, provider productivity, repeat visits and membership income. A practice platform that keeps booking, charting and payments together makes those reports easier to pull for a loan package or an acquisition review. If you are reviewing your systems too, see how Prospyr handles analytics and multi-location practices, or book a practice demo.

Frequently asked questions

Can a med spa get an SBA loan?

Usually, yes. A for-profit med spa that meets SBA size standards and lending rules can qualify for SBA 7(a) or 504 financing. Ownership structure matters more than the treatment menu: lenders will look at who owns the clinical entity, who owns the management company, and which one earns the revenue. Check your state's ownership rules in our med spa licensing guide before you apply.

What is the difference between an SBA 7(a) and a 504 loan?

A 7(a) loan is the flexible option. It can fund acquisitions, build-outs, equipment, working capital and refinancing, up to $5 million. A 504 loan is limited to fixed assets such as real estate and major equipment, and cannot be used for working capital or inventory.

How long does an SBA loan take to close?

Expect weeks to a few months, depending on the lender and the deal. Preferred Lenders approve in-house, and smaller SBA Express loans move faster. Acquisitions take longer because the lender reviews the seller's financials and a business valuation.

Should I use a broker or go straight to a bank?

Go straight to a bank if you know which lenders work with practices like yours. A broker can help if your deal is unusual, such as a non-physician owner or a multi-location purchase, but ask in writing how the broker is paid. If you are buying an existing practice, see our list of practice acquisition lenders.

Want your company considered?

We review this list quarterly. Companies that lend to med spas and clinics can send their website and what they offer practices to info@prospyrmed.com. Inclusion is editorial and not paid.

Editorial scope

This list is based on each company's public website, checked October 2026 with AI-assisted research. The companies did not review this article before publication. It is not financial advice, a guarantee of loan approval or terms, or a substitute for comparing written offers and checking references. Read our methodology or report a correction.