Skip to content
(810) 229-2601 Contact Us
HEALTHCARE

Support Essential Care. Fund Continued Growth.

Capital aligned to healthcare operations: reimbursement timing, facility investment and ownership transitions.

FINANCING FOR HEALTHCARE

Capital for Healthcare Operations and Transitions

Healthcare providers incur staffing, facility, equipment and patient-care expenses while they wait for reimbursement from government programs, insurers and other payors. The cost of care is paid today; the payment arrives later.

Great Elm Commercial Finance provides asset-based lending to middle-market healthcare providers, with a particular interest in providers holding government receivables and in operators with healthcare-related real estate. We evaluate the strength of management and the collateral behind each request.

Explore Financing Solutions
Modern medical office building in autumn

INDUSTRY CHALLENGES

Financial Pressures Behind Healthcare Operations

Care has to continue while cash arrives on a schedule set by payors. These pressures can create liquidity strain, although not every provider has the same payment arrangements.

Understanding where the pressure comes from points toward the right financing structure.

Payroll, supplies and rent come due on a fixed schedule, while Medicare, Medicaid and private payors remit on theirs. Documentation and payor requirements can lengthen the wait, so cash may arrive well after the cost of care was paid.

Clinical and support staff are among the largest recurring costs for many providers. Keeping people in place through slow collection periods takes steady liquidity.

Opening a location, acquiring a provider or changing ownership brings capital demands, existing obligations and timing questions that sit alongside day-to-day operating costs.

Hospital building lit at dusk

WHO WE FINANCE

Healthcare Businesses We May Finance

We work with established healthcare organizations that have strong management and assets we can lend against. They typically fall into one of these groups:

  • Providers with established, potentially eligible receivables, including government receivables, that can be reviewed as collateral
  • Operators with qualifying healthcare-related real estate that can support a secured structure
  • Established healthcare organizations seeking financing for operating or strategic needs

$5MM–$500MM

Typical Annual Borrower Revenue

Financing availability and eligibility depend on the individual transaction, eligible collateral, and underwriting requirements.

$5MM–$30MM

Typical Target Loan Size

A typical target, not a limit. Loan size depends on the individual transaction, eligible collateral, and underwriting requirements.

FINANCING APPLICATIONS

Capital for Reimbursement, Facilities and Transitions

Healthcare capital needs go beyond day-to-day operating expenses. Whether you are managing payor timing, investing in facilities or pursuing growth, the right structure can support your next move.

Two clinicians reviewing information at a laptop

Manage Reimbursement-Related Cash Flow

While payors take weeks or months to pay, payroll, supplies and operating costs still have to be funded. Eligible receivables can support working capital that keeps operations running until collections arrive.

Availability depends on which payors you bill and how those receivables perform, and Great Elm reviews each facility individually.

Ledgered Line of Credit

Invest in Facilities and Equipment

Qualifying improvements, property and productive assets may be financed with secured structures, without relying only on existing cash reserves.

Secured Term Loans

Support Growth and Acquisitions

Expansion and ownership transactions bring existing lenders, collateral and timing into play. Great Elm evaluates the underlying assets and circumstances to identify appropriate financing.

Unitranche LoansSecured Term Loans

FINANCING SOLUTIONS

Financing Solutions for Healthcare Providers

Great Elm offers financing structures designed to address different capital requirements. The appropriate solution depends on your business objectives, eligible collateral and existing obligations.

Secured Term Loans

Term financing backed by eligible healthcare assets, which can potentially include real estate, depending on the transaction.

Recent Deals

Financing deals that move businesses forward.

Explore our recent financing transactions and discover how we’re helping businesses access the capital they need to grow and succeed.

See More Deals

FREQUENTLY ASKED QUESTIONS

Healthcare Financing FAQs

Answers to common questions about government receivables, real estate and payor arrangements.

Eligibility depends on the payor, the program and how the receivable is billed and collected, so each facility is reviewed individually. We look at documentation, aging and collection history as part of underwriting.

Healthcare-related real estate can support a secured loan in the right circumstances. Suitability depends on the property, the operator and the overall debt structure.

Discuss Your Healthcare Financing Needs

Whether you are managing reimbursement cycles, evaluating a facility investment or pursuing growth, Great Elm can review your financing objectives and eligible business assets.

Contact Our Financing Team

Tell us about your business and what you’re looking to finance. A member of our team will follow up to discuss your needs and potential next steps.