Starbend Commercial Capital, a small-business funding service in Las Vegas, NV, explains business loans for chiropractors, physical therapy practices and optometrists in Clark County, NV: treatment and exam equipment financing, working capital for insurance billing lag, second-clinic build-outs and what partners may review.
| Chiropractic, PT and optometry employers, county | 1,560 (CBP 2023) |
|---|---|
| Employees | 7,897 |
| Under five employees | 69.2% |
| Clinics with one to four staff | 1,079 |
| Without payroll, county | 4,530 (NES 2024) |
| Census category | Offices of other health practitioners |
Three clinics, one pattern
A chiropractic office, a physical therapy clinic and an optometry practice look different, but their finances share some features. Each can depend on specialized equipment, may collect part of its revenue at the visit and part from insurers later, and can grow by adding a provider or opening another location. Most are small: in Clark County, NV, 69.2% of these offices had fewer than five employees in 2023 (CBP 2023).
Chiropractic equipment financing options
Adjusting tables, drop tables, decompression units, X-ray equipment, therapeutic ultrasound and laser units are examples of purchases. Equipment financing uses the equipment as collateral; for imaging, include installation and shielding in the quote so the partner sees the full project. Chiropractic business loans for a practice purchase or a move can be structured as term loans.
Physical therapy equipment financing options
PT clinics finance treatment tables, parallel bars, treadmills and bikes, cable systems, electrotherapy units and aquatic equipment where the space allows. A small business loan for a physical therapy clinic can combine equipment financing for the gear with a term loan for the build-out of the gym floor and treatment rooms.
Optometry practice loans
Optometry practices carry two kinds of cost: exam-lane equipment such as phoropters, slit lamps, retinal cameras and visual field analyzers, and an optical shop stocked with frames. The equipment suits equipment financing; frame inventory behaves more like retail stock, where a line of credit or inventory financing fits better.
Billing gaps and working capital
Insurance billing lag affects all three. Insurer payments can arrive after the visit, and denied claims can take longer still. Working capital can bridge a defined gap, such as a new provider's first months; a line of credit fits a recurring one. Partners may ask for an accounts receivable aging report alongside bank statements.
A second clinic
Opening another location is one growth step for these practices. A term loan covers the build-out, equipment financing covers the tables and machines, and a small cushion covers payroll until the new clinic's billing catches up. Partners weigh the plan against the first clinic's track record.
Illustrative example: equipping a PT gym floor (not an offer)
A physical therapy clinic prices treatment tables, a cable column, two treadmills and electrotherapy units at $42,000. Financed over 60 months at an annual rate of 10%, chosen only for arithmetic, the payment is about $892 a month. If each piece of equipment supports a few extra billable visits a week, the payment is modest against that revenue, but the clinic's own schedule is the real test.
Clark County, NV clinics of this kind in Census counts
County Business Patterns counted 1,560 offices of other health practitioners, the Census grouping that includes chiropractors, physical therapists and optometrists, with employees in Clark County, NV in 2023: 7,897 employees in all, and 1,079 offices with fewer than five. ZIP 89103 had 33 (ZBP 2023). Nonemployer Statistics recorded 4,530 such practices without payroll in 2024, a separate program and year. Related health pages are on the industries page; county data is on the Las Vegas, NV page.
Cash-pay services and packages
A chiropractic or therapy clinic may sell cash-pay services alongside insured visits: care packages, memberships, massage or wellness services. Prepaid packages bring cash in early but create an obligation to deliver visits later. Partners reading bank statements will see the deposits; be ready to explain how much of the balance is prepaid and how you track it.
Questions before financing clinic equipment
- Does the equipment need special electrical, plumbing or shielding?
- Is training included, and who services it?
- Can the equipment move with you if the clinic relocates?
- What is the end-of-lease buyout on a leased unit?
- How many visits a week does it need to support to cover the payment?
By Starbend Commercial Capital · Updated

