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Revenue-Based Financing for Physical Therapy Clinics

Revenue-based financing gives a physical therapy clinic a lump sum repaid as a set share of collections, so a week with fewer visits or a delayed payer batch means a smaller payment. It fits growth, like a new location or a specialty program, where new visits repay the money. The total repayment is fixed at signing.

Why a share of collections fits PT

Collections follow claims

Visits turn into deposits weeks later. A percentage of deposits follows actual cash, not the schedule.

New programs build slowly

A sports rehab, pelvic health or vestibular program takes months to fill. A share grows as the program does.

Revenue share math for a slow month

Funding of $36,000, capped at $46,800, against $90,000 in typical monthly sales; the funder keeps 6% of each month until the cap is met.

MonthRevenueRemittance at 6%Remittance as a share
An average month$90,000$5,4006.0%
A slow month, 15% under average$76,500$4,5906.0%

About $4,590 leaves in a slow month. Roughly 9 months of average sales repay it. With a 3.8-point yearly range in BLS employment for offices of physical, occupational and speech therapists and audiologists (NAICS 621340), the slow month to test is the one on your statements.

Where clinics use it

  • Opening a second location.
  • Launching a specialty program with training and equipment.
  • Adding direct-access or cash-pay wellness services.
  • Marketing to physicians and athletic programs.

Terms to review

What counts as collections

Ask whether workers' comp, auto insurance and cash-pay revenue are all included, and how refunds and recoupments are handled.

Government payers

Because Medicare payments can't be assigned, funders calculate their share on total deposits and debit the account. Ask how often they reconcile.

Minimums

Compare any minimum payment with a month when a major payer paid late.

When a line fits better

The regular claim cycle costs less on a line of credit. Revenue-based financing makes sense for growth that brings its own new visits.

Physician referrals as the engine

A PT clinic's growth usually follows referral relationships with orthopedists, sports medicine groups and athletic programs. When the money funds outreach or a location near a referral source, track referrals by source each month. Rising referrals are the earliest sign the share will clear on time.

Visit caps and plan changes

If a major plan tightens visit limits or authorizations mid-term, collections per patient fall. Ask whether the share adjusts on its own or whether the contract has a minimum that would stay fixed.

Quick answers

Does revenue-based financing work for a PT clinic?

Yes, especially for growth like a second location or a specialty program. The payment is a share of collections, so it drops when payers are slow. Ask how workers' comp, auto and cash-pay revenue are counted, and how refunds and recoupments are treated.

What should a physical therapy clinic use revenue-based financing for?

Growth that brings new visits, like a new location, a specialty program or cash-pay wellness services. For the regular wait between visits and claim payments, a line of credit usually costs less.

How do recoupments affect a PT clinic's revenue-based financing?

When a payer takes back money through a recoupment, deposits drop. A true revenue share should drop with them. Confirm in writing that recoupments and refunds reduce revenue, and ask how quickly the funder reconciles.

Want to see what fits a physical therapy clinic like yours?

Tell us your slow months and your open advances, and we'll shop the file with funders whose programs fit. Call 877-FUND-654 with any question. We call you back, usually the same business day, and we always talk with you before we shop your file.