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Healthcare MCA in Texas — funders, SBA vs MCA math, practice profiles.

Texas healthcare is the second-largest US healthcare market by revenue. Population growth + medical school expansion + suburban primary care boom drive demand. HB 700 disclosure (in force since September 2025) makes MCA pricing comparison easier. Here's the honest map.

By Keerthana Keti10 min read

Texas healthcare market context

Texas HB 700 (effective September 2025; often miscited as SB 1280, which died) requires standardized cost disclosure on sales-based financing under $1M and provider/broker registration with the OCCC by December 31, 2026 — but no APR-equivalent mandate. Healthcare-focused funders had to comply. Texas healthcare has the strongest fundamentals of any non-coastal state — population growth + low state taxes + business-friendly climate. AR cycles run 45-75 days typically. Specialty practices serving commercial-insurance-heavy patient base have shorter DSO than Medicaid-heavy practices. Practice sizes we see most often: solo practitioners ($25K-$100K MCA via SBA), group practices ($100K-$500K), multi-location specialty groups ($500K-$2M+ from specialty medical lenders or SBA 504).

Top funders for Texas healthcare practices

Credibly

HB 700 compliant; multi-product flexibility; strong TX healthcare volume; API V2 streamlines submission.

OnDeck

Direct lender, HB 700 compliant, term loan product fits established TX practices preferring non-MCA structure.

Bluevine

LOC for established practices with 12+ months and 625+ credit; HB 700 compliant.

Fora Financial

Wide healthcare acceptance, $1.5M cap fits multi-location groups, 5% renewal discount.

Texas cities and healthcare markets

  • Dallas / Fort WorthLargest TX healthcare market. Multi-specialty groups, hospital-affiliated practices, dental specialty. Deal sizes $100K-$1M common.
  • HoustonWorld-class medical center; specialty referral practices serving regional patient base. Larger deal sizes; mixed payer mix.
  • AustinTech-employer commercial insurance base supports cash-pay specialty practices (cosmetic, concierge). Square Capital / Toast Capital occasionally fit cosmetic practices.
  • San AntonioMilitary and regional health system referrals. Mixed payer mix; mid-size MCA volume.

The funding math, in Texas terms

A 5-provider primary care group in DFW doing $400K/month in revenue with 70% commercial, 25% Medicare, 5% private pay needs $200K to acquire a smaller practice and integrate operations. - SBA 7(a) over 10 years: $200K at prime + 2.5-4%, ~$2,400/mo. Acquisition financing is exactly what SBA 7(a) is designed for. - Specialty medical lender (e.g., Lendeavor, Bankers Healthcare Group): $200K term loan at competitive rates, faster than SBA. Specifically designed for practice acquisitions. - $200K MCA at 1.26 factor over 12 months: $252K payback, ~$690/day ACH. Brutal during integration period. Best fit: SBA 7(a) for true practice acquisition. Specialty medical lender if speed matters. MCA almost never fits acquisition use case.

Other industries we fund in Texas

Not healthcare? Here's funding qualification context for the other Texas verticals we route most often:

Related reading for Texas healthcare practitioners

Frequently asked questions

Frequently asked questions

Does HB 700 (the law miscited as SB 1280) affect my Texas healthcare MCA offer?
Yes. Since September 2025, funders offering sales-based financing under $1M in TX must provide standardized cost disclosure, and must register with the OCCC by December 31, 2026. Note HB 700 does NOT mandate an APR-equivalent — ask each funder for it directly when comparison shopping.
Should TX cosmetic surgery practices consider MCA?
Cash-pay cosmetic practices have predictable revenue and qualify for SBA 7(a) easily. SBA cost advantage over MCA is dramatic (5-10x lower). Use MCA only for narrow short-term gaps.
What's a typical TX specialty practice MCA rate?
B-paper (12+ months, $50K+/mo, 600+ credit): 1.22-1.35 at direct funders. A-paper (24+ months, $100K+/mo, 650+ credit): 1.18-1.28 reachable.
Are there TX-specific specialty medical lenders?
Several national specialty medical lenders (Lendeavor, Bankers Healthcare Group, PNC Healthcare) write extensively in Texas. Direct application often beats both MCA and generalist SBA. Worth comparing.